KELLY JENNINGS MH 21536
NPI 1043923147
Counselor - Mental Health in Tavares, FL

Active since January 04, 2023PECOS EnrolledAccepts Medicare Assignment
858 S DUNCAN DR, TAVARES, FL 32778(352) 609-5103 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2024, Jan 4, 2023 (2 updates tracked since 2023).

About Kelly Jennings Mh 21536 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY JENNINGS MH 21536 (NPI 1043923147) is an individual mental health provider in Tavares, Florida, licensed in Florida (MH21536) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043923147
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY JENNINGSCredential: MH 21536
Location Address858 S DUNCAN DRTavares, FL 32778-4044
Mailing Address135 Tyringham RdEustis, FL 32726 · (352) 354-4004
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 4, 2023
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
NPI 1043923147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH21536
858 S DUNCAN DR, Tavares, FL 32778

Secondary Practice Locations 5

Location 19100 Conroy Windermere RdWindermere, FL 34786-8431 · Phone (352) 708-6283
Location 2210 N Highway 27 Ste 4Clermont, FL 34711-2411 · Phone (352) 708-6283
Location 3100 S Kentucky AveLakeland, FL 33801-5096 · Phone (352) 708-6283
Location 41965 S Orange Blossom TrlApopka, FL 32703-7757 · Phone (352) 708-6283
Location 5858 S Duncan DrTavares, FL 32778-4044 · Phone (352) 708-6283

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Jennings Mh 21536 is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800249772
PECOS Enrollment IDI20240126001513
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
858 S DUNCAN DR
TAVARES, FL 32778
Marriage & Family Therapist
858 S DUNCAN DR
TAVARES, FL 32778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Jennings's NPI number?

The NPI number for Kelly Jennings is 1043923147. It was assigned to this individual provider in the NPPES registry on January 4, 2023.

Where is Kelly Jennings located?

Kelly Jennings practices at 858 S Duncan Dr, Tavares, FL 32778. The listed phone number is (352) 609-5103.

What is Kelly Jennings's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kelly Jennings enrolled in Medicare?

Yes. Kelly Jennings is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Jennings accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Kelly Jennings as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Jennings was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.