STEPHANIE ANN KELLY MA, LMHC
NPI 1619508017
Counselor - Mental Health in Brandon, FL
About Stephanie Ann Kelly Ma, Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE ANN KELLY MA, LMHC (NPI 1619508017) is an individual mental health provider in Brandon, Florida, licensed in Florida (MH17627) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephanie Ann Kelly Ma, Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRANDON, FL 33511
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 Stephanie Kelly's NPI number?
The NPI number for Stephanie Kelly is 1619508017. It was assigned to this individual provider in the NPPES registry on February 4, 2020.
Where is Stephanie Kelly located?
Stephanie Kelly practices at 1111 Oakfield Dr, Brandon, FL 33511. The listed phone number is (813) 563-9553.
What is Stephanie Kelly's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Stephanie Kelly enrolled in Medicare?
Yes. Stephanie Kelly is registered in the Medicare PECOS enrollment system.
What insurance does Stephanie Kelly accept?
Health plans from BridgeSpan Health Company, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Harvard Pilgrim Health Care and Oscar Health Maintenance Organization of Florida and 2 other insurers list Stephanie Kelly 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 Stephanie Kelly was last updated on January 17, 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.
# Stephanie Ann Kelly, MA, LMHC · NPI 1619508017
Mental Health provider in Brandon, Florida. Individual provider, active in the CMS NPPES registry since February 4, 2020.
## Identity
- **NPI:** 1619508017 (Entity type: Individual)
- **Enumerated:** February 4, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH17627 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1111 OAKFIELD DR, Brandon, FL 33511-4930
- **Phone:** (813) 563-9553
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** January 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1619508017) · Data from the CMS NPPES public registry.