KELLIE M STOCKDALE
NPI 1477254969
Counselor - Mental Health in Destin, FL

Q: What is Kellie Stockdale's NPI number?

The NPI number for Kellie Stockdale is 1477254969. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Q: What is Kellie Stockdale's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kellie Stockdale was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 13, 2023

3997 COMMONS DR W STE B, DESTIN, FL 32541(850) 736-7117 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kellie M Stockdale NPPES

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

KELLIE M STOCKDALE (NPI 1477254969) is an individual mental health provider in Destin, Florida, licensed in Florida (IMH23408) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1477254969

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLIE M STOCKDALE

Location Address3997 COMMONS DR W STE BDestin, FL 32541-8444

Mailing Address3997 Commons Dr W Ste BDestin, FL 32541-8444 · (850) 736-7117

Phone(850) 736-7117

Sole ProprietorYes

Enumeration DateMarch 13, 2023

NPPES CertifiedMarch 13, 2023

✔ NPI 1477254969 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 · IMH23408

3997 COMMONS DR W STE B, Destin, FL 32541

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Other Providers at the Same Location NPPES

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

BEATRIZ RODRIGUEZ PHD

Counselor (Mental Health)

3997 COMMONS DR W STE B
DESTIN, FL 32541

Okaloosa County (850) 737-1712

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 Kellie Stockdale's NPI number?

The NPI number for Kellie Stockdale is 1477254969. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Kellie Stockdale located?

Kellie Stockdale practices at 3997 Commons Dr W Ste B, Destin, FL 32541. The listed phone number is (850) 736-7117.

What is Kellie Stockdale's specialty?

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

When was this NPI record last updated?

The NPPES record for Kellie Stockdale was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.