Karen L Kennedy, LMHC

Individual provider Active NPI Mental Health Counselor · Wimauma, FL

NPI 1982969143 · NPPES record last updated Nov 13, 2023

Key facts

NPI
1982969143
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
MH18143 (FL)
Practice address
14730 Scottburgh Glen Dr
Wimauma, FL 33598-6206
Phone
(941) 777-4617
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MH18143FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Resilient You Counseling and Consultation, LLC Current
since Aug 2, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH18143 FL Yes

Addresses

Primary practice location

14730 Scottburgh Glen Dr
Wimauma, FL 33598-6206

Mailing address

14730 Scottburgh Glen Dr
Wimauma, FL 33598-6206
Phone (941) 777-4617

Other providers in Wimauma, FL

All providers in Wimauma, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.