KELLY ANN NENEZIAN LMHC - NPI 1144614819 - Counselor in Gainesville, FL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Kelly Ann Nenezian Lmhc NPPES

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

KELLY ANN NENEZIAN LMHC (NPI 1144614819) is an individual mental health provider in Gainesville, Florida, licensed in Florida (MH15816) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144614819

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLY ANN NENEZIANCredential: LMHC

Location Address1810 NW 6TH ST STE EGainesville, FL 32609-8535

Mailing Address1810 Nw 6th St Ste EGainesville, FL 32609-8535 · (352) 660-4142

Phone(352) 660-4142

Sole ProprietorNo

Enumeration DateMarch 20, 2015

Last NPPES UpdateFebruary 12, 20193 updates tracked since enumeration

✔ NPI 1144614819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · MH15816

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

1810 NW 6TH ST STE E, Gainesville, FL 32609

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Secondary Practice Locations 2

Location 14300 SW 13th StGainesville, FL 32608-4006 · Phone (352) 374-5600

Location 213553 SW state road 45Archer, FL 32618-9998 · Phone (863) 528-5984

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Kelly Ann Nenezian Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 25, 2024 through June 25, 2026.

Opt-Out Effective DateJune 25, 2024

Opt-Out In Effect ThroughJune 25, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

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

POSTPARTUM WELLNESS & FAMILY COUNSELING

Social Worker (Clinical)