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KELLIE ELIZABETH ANDERSON
NPI 1073005500
Counselor - Mental Health in Jacksonville, FL

Active since May 31, 2018
4131 UNIVERSITY BLVD S STE 15, JACKSONVILLE, FL 32216(904) 745-0067 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kellie Elizabeth Anderson NPPES

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

KELLIE ELIZABETH ANDERSON (NPI 1073005500) is an individual mental health provider in Jacksonville, Florida and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1073005500
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLIE ELIZABETH ANDERSON
Location Address4131 UNIVERSITY BLVD S STE 15Jacksonville, FL 32216-4346
Mailing Address145 Solano Cay CirPonte Vedra Beach, FL 32082-2244 · (904) 699-5466 · Fax (904) 727-3746
Phone(904) 745-0067
Sole ProprietorYes
Enumeration DateMay 31, 2018
✔ NPI 1073005500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4131 UNIVERSITY BLVD S STE 15, Jacksonville, FL 32216
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Other Providers at the Same Location NPPES 11

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

ALINA MITCHELL BS
Counselor (Mental Health)
4131 UNIVERSITY BLVD S STE 15
JACKSONVILLE, FL 32216
Duval County (904) 745-0067
ORTHO SPORT AND SPINE PHYSICIANS JACKSONVILLE
Physical Medicine & Rehabilitation
4131 UNIVERSITY BLVD S STE 15
JACKSONVILLE, FL 32216
Duval County (678) 752-7246
LYTINA E. CANNON
Counselor (Mental Health)
4131 UNIVERSITY BLVD S STE 15
JACKSONVILLE, FL 32216
Duval County (904) 745-0067
BOBBIE EVANS
Counselor (Mental Health)
4131 UNIVERSITY BLVD S STE 15
JACKSONVILLE, FL 32216
Duval County (904) 570-8947
TOMMIE LASEAN TAYLOR MA
Counselor (Mental Health)
4131 UNIVERSITY BLVD S STE 15
JACKSONVILLE, FL 32216
Duval County (904) 745-0067
ASHAMA MCKENZIE MSW
Counselor (Mental Health)
4131 UNIVERSITY BLVD S STE 15
JACKSONVILLE, FL 32216
Duval County (904) 745-0067
MR. NORMAN RUDY SILVA MS,BA
Counselor (Mental Health)
4131 UNIVERSITY BLVD S STE 15
JACKSONVILLE, FL 32216
Duval County (904) 745-0067
BRANDE SMETANA
Behavior Analyst
4131 UNIVERSITY BLVD S STE 15
JACKSONVILLE, FL 32216
Duval County (608) 797-6009

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 Kellie Anderson's NPI number?

The NPI number for Kellie Anderson is 1073005500. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Kellie Anderson located?

Kellie Anderson practices at 4131 University Blvd S Ste 15, Jacksonville, FL 32216. The listed phone number is (904) 745-0067.

What is Kellie Anderson's specialty?

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

When was this NPI record last updated?

The NPPES record for Kellie Anderson was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.