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MR. KYLE SHORT
NPI 1073199048
Counselor - Mental Health in Boynton Beach, FL

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment
2500 QUANTUM LAKES DR STE 105, BOYNTON BEACH, FL 33426(561) 770-1780(833) 562-8893 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kyle Short NPPES

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

MR. KYLE SHORT (NPI 1073199048) is an individual mental health provider in Boynton Beach, Florida, licensed in Florida (IMH17305) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1073199048
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KYLE SHORT
Location Address2500 QUANTUM LAKES DR STE 105Boynton Beach, FL 33426-8308
Mailing Address2500 Quantum Lakes Dr Ste 105Boynton Beach, FL 33426-8308 · (561) 770-1780 · Fax (833) 562-8893
Phone(561) 770-1780
Fax(833) 562-8893
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
✔ NPI 1073199048 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 · IMH17305
2500 QUANTUM LAKES DR STE 105, Boynton Beach, FL 33426
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.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

Mr. Kyle Short 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 ID4082056189
PECOS Enrollment IDI20240521001953
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 4

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

MS. ANDREA MUCHMORE MSW
Social Worker (Clinical)
2500 QUANTUM LAKES DR STE 105
BOYNTON BEACH, FL 33426
Palm Beach County (561) 770-1780
ANJALEE HALDANE
Counselor (Mental Health)
2500 QUANTUM LAKES DR STE 105
BOYNTON BEACH, FL 33426
Palm Beach County (561) 770-1780
MS. DANIELLE LEONARD LPN
Licensed Practical Nurse
2500 QUANTUM LAKES DR STE 105
BOYNTON BEACH, FL 33426
Palm Beach County (561) 502-4720
RESTORATIVE THERAPY FOR WELLNESS
Social Worker (Clinical)
2500 QUANTUM LAKES DR STE 105
BOYNTON BEACH, FL 33426
Palm Beach County (561) 602-4554

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 Kyle Short's NPI number?

The NPI number for Kyle Short is 1073199048. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Kyle Short located?

Kyle Short practices at 2500 Quantum Lakes Dr Ste 105, Boynton Beach, FL 33426. The listed phone number is (561) 770-1780.

What is Kyle Short's specialty?

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

Is Kyle Short enrolled in Medicare?

Yes. Kyle Short 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 Kyle Short accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Kyle Short 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 Kyle Short was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.