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KILONDRA C.V DAVIS LMHC, NCC
NPI 1386134567
Counselor - Mental Health in Estero, FL

Active since May 14, 2018PECOS Enrolled
3501 HEALTH CENTER BLVD STE 2190, ESTERO, FL 34135(239) 343-6050(239) 343-6051 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2024, Jul 9, 2022, May 14, 2018 (3 updates tracked since 2018).

About Kilondra C.v Davis Lmhc, Ncc NPPES

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

KILONDRA C.V DAVIS LMHC, NCC (NPI 1386134567) is an individual mental health provider in Estero, Florida, licensed in Florida (MH19002) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1386134567
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKILONDRA C.V DAVISCredential: LMHC, NCC
Location Address3501 HEALTH CENTER BLVD STE 2190Estero, FL 34135-8133
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-6050 · Fax (239) 343-6051
Phone(239) 343-6050
Fax(239) 343-6051
Sole ProprietorYes
Enumeration DateMay 14, 2018
Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1386134567 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 · MH19002
3501 HEALTH CENTER BLVD STE 2190, Estero, FL 34135
Open in Google Maps ↗

Secondary Practice Location 1

Location 17901 4th St N Ste 300St Petersburg, FL 33702-4399 · Phone (941) 257-3278

Other Identifiers 1

Medicaid125192500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kilondra C.v Davis Lmhc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kilondra Davis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Memorial Health System
9.9 mi
Federally Qualified Health Center (FQHC)
9800 S HEALTHPARK DR STE 110
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1770165920 (239) 343-6050
Lee Health System Inc
10 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. KRISTEN ELIZABETH BOLOMEY PSY.D.
Psychologist
3501 HEALTH CENTER BLVD STE 2190
ESTERO, FL 34135
Lee County (239) 343-6050
DR. ALEX ROBERTS PH.D.
Psychologist
3501 HEALTH CENTER BLVD STE 2190
ESTERO, FL 34135
Lee County (239) 468-0300
DR. SUSAN LYNN MOSCHOS PH.D.
Psychologist (Clinical Child & Adolescent)
3501 HEALTH CENTER BLVD STE 2190
ESTERO, FL 34135
Lee County (239) 468-0300
LEE MEMORIAL HEALTH SYSTEM
Clinic/Center (Federally Qualified Health Center (FQHC))
3501 HEALTH CENTER BLVD STE 2190
ESTERO, FL 34135
Lee County (239) 343-6050

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 Kilondra Davis's NPI number?

The NPI number for Kilondra Davis is 1386134567. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Where is Kilondra Davis located?

Kilondra Davis practices at 3501 Health Center Blvd Ste 2190, Estero, FL 34135. The listed phone number is (239) 343-6050.

What is Kilondra Davis's specialty?

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

Is Kilondra Davis enrolled in Medicare?

Yes. Kilondra Davis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kilondra Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kilondra Davis reassigns Medicare benefits to 2 organizations: Lee Memorial Health System (Fort Myers, FL) and Lee Health System Inc (Fort Myers, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kilondra Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kilondra Davis accept?

Health plans from Anthem Blue Cross and Blue Shield, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Kilondra Davis 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 Kilondra Davis was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.