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SHELLY RAE KHALDI LMHC
NPI 1104024587
Counselor - Mental Health in Tampa, FL

Active since July 06, 2007PECOS EnrolledAccepts Medicare Assignment
300 S HYDE PARK AVE STE 250, TAMPA, FL 33606(727) 992-0038(877) 369-2391 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shelly Rae Khaldi Lmhc NPPES

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

SHELLY RAE KHALDI LMHC (NPI 1104024587) is an individual mental health provider in Tampa, Florida, licensed in Florida (MH9011) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1104024587
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHELLY RAE KHALDICredential: LMHC
Location Address300 S HYDE PARK AVE STE 250Tampa, FL 33606-4123
Mailing Address3228 Piccard LoopNew Port Richey, FL 34655-3206 · (727) 992-0038 · Fax (773) 692-3918
Phone(727) 992-0038
Fax(877) 369-2391
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 6, 2007
Last NPPES UpdateJanuary 2, 2024
NPPES CertifiedJanuary 2, 2024
✔ NPI 1104024587 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 · MH9011
300 S HYDE PARK AVE STE 250, Tampa, FL 33606
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12144 Seven Springs BlvdTrinity, FL 34655-3910 · Phone (727) 992-0038 · Fax (877) 369-2391
Location 21304 S De Soto Ave Ste 204Tampa, FL 33606-3138 · Phone (727) 992-0038 · Fax (877) 369-2391

Other Identifiers 1

OtherMH9011FL · Doh Lmhc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Shelly Rae Khaldi Lmhc 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 ID2769919018
PECOS Enrollment IDI20241226002761
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.

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 Shelly Khaldi's NPI number?

The NPI number for Shelly Khaldi is 1104024587. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Where is Shelly Khaldi located?

Shelly Khaldi practices at 300 S Hyde Park Ave Ste 250, Tampa, FL 33606. The listed phone number is (727) 992-0038.

What is Shelly Khaldi's specialty?

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

Is Shelly Khaldi enrolled in Medicare?

Yes. Shelly Khaldi 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 Shelly Khaldi accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Oscar Insurance Company and 2 other insurers list Shelly Khaldi 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 Shelly Khaldi was last updated on January 2, 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.