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KELLY MARIE KISIDA
NPI 1184434607
Counselor in Casselberry, FL

Active since January 08, 2025
853 SR 436, SUITE 2099, CASSELBERRY, FL 32707(407) 906-6167 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Marie Kisida NPPES

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

KELLY MARIE KISIDA (NPI 1184434607) is an individual counselor in Casselberry, Florida, licensed in Florida (27040) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1184434607
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLY MARIE KISIDA
Location Address853 SR 436, SUITE 2099Casselberry, FL 32707
Mailing Address9775 Doriath CirOrlando, FL 32825-8796 · (941) 374-3332
Phone(407) 906-6167
Sole ProprietorNo
Enumeration DateJanuary 8, 2025
NPPES CertifiedJanuary 6, 2025
✔ NPI 1184434607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in FL · 27040
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
853 SR 436, Casselberry, FL 32707
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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.

NEW AGE CHIROPRACTIC
Chiropractor
853 SR 436, SUITE 1001
CASSELBERRY, FL 32707
Seminole County (407) 960-3237
STEPHANIE KERN INVESTMENT AND HOLDING COMPANY LLC
Clinic/Center (Multi-Specialty)
853 SR 436, SUITE 1029
CASSELBERRY, FL 32707
Seminole County (407) 960-3237
STEPHANIE KERN D.C
Chiropractor
853 SR 436, SUITE 1001
CASSELBERRY, FL 32707
Seminole County (386) 451-5762
DR. DUSTIN JOHN HUFFMAN D.C.
Chiropractor
853 SR 436, STE 1001
CASSELBERRY, FL 32707
Seminole County (140) 796-0323
CAITLIN NICOLE MCDONALD LMHC
Counselor (Mental Health)
853 SR 436, SUITE 2099
CASSELBERRY, FL 32707
Seminole County (321) 541-0252

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 Kisida's NPI number?

The NPI number for Kelly Kisida is 1184434607. It was assigned to this individual provider in the NPPES registry on January 8, 2025.

Where is Kelly Kisida located?

Kelly Kisida practices at 853 Sr 436 Suite 2099, Casselberry, FL 32707. The listed phone number is (407) 906-6167.

What is Kelly Kisida's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelly Kisida was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.