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MRS. KELLY SCHOCK WEIDNER LMHC
NPI 1477827111
Counselor - Mental Health in Jacksonville, FL

Active since February 27, 2012
5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207(904) 858-1966 Get Directions Write a Review

NPPES record last updated: March 9, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Kelly Schock Weidner Lmhc NPPES

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

MRS. KELLY SCHOCK WEIDNER LMHC (NPI 1477827111) is an individual mental health provider in Jacksonville, Florida and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1477827111
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KELLY SCHOCK WEIDNERCredential: LMHC
Location Address5776 SAINT AUGUSTINE RDJacksonville, FL 32207-8030
Mailing Address5776 Saint Augustine RdJacksonville, FL 32207-8030 · (904) 858-1966
Phone(904) 858-1966
Sole ProprietorYes
Enumeration DateFebruary 27, 2012
Last NPPES UpdateMarch 9, 2015
✔ NPI 1477827111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5776 SAINT AUGUSTINE RD, Jacksonville, FL 32207
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Other Identifiers 1

Medicaid00979830FL

Accepted Insurance

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

Other Providers at the Same Location NPPES 20

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

MRS. AMANDA KAY CALLAHAN LCSW
Social Worker (Clinical)
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32207
Duval County (904) 448-4700
RACHEL BLOCK-STEWART LMHC
Counselor (Mental Health)
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32207
Duval County (904) 448-4700
KAREN SOFIA ROMERO DIAZ BAUTISTA
Counselor (Mental Health)
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32207
Duval County (904) 448-4700
MS. KIMBERLY RIVERS RMHCI
Counselor (Mental Health)
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32207
Duval County (904) 504-6843
KYRA NICOLE WEST MSW
Social Worker
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32207
Duval County (904) 835-2203
VICKIE FREEMAN MASTER LEVEL
Counselor (Mental Health)
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32207
Duval County (904) 448-4700
TYSHENDA D JONES
Social Worker
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32207
Duval County (904) 448-7400
JAMES JOSEPH MCLOONE
Counselor (Mental Health)
5776 SAINT AUGUSTINE RD
JACKSONVILLE, FL 32207
Duval County (904) 448-4700

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 Weidner's NPI number?

The NPI number for Kelly Weidner is 1477827111. It was assigned to this individual provider in the NPPES registry on February 27, 2012.

Where is Kelly Weidner located?

Kelly Weidner practices at 5776 Saint Augustine Rd, Jacksonville, FL 32207. The listed phone number is (904) 858-1966.

What is Kelly Weidner's specialty?

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

What insurance does Kelly Weidner accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans list Kelly Weidner 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 Kelly Weidner was last updated on March 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.