KEVIN EUGENE FRALEY JR. LMHC
NPI 1619679644
Counselor - Mental Health in Pace, FL

Q: What is Kevin Fraley's NPI number?

The NPI number for Kevin Fraley is 1619679644. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Q: What is Kevin Fraley'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 Kevin Fraley was last updated on March 21, 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 21, 2023PECOS EnrolledAccepts Medicare Assignment

4453 HIGHWAY 90, PACE, FL 32571(850) 905-0110(850) 905-8600 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kevin Eugene Fraley Jr. Lmhc NPPES

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

KEVIN EUGENE FRALEY JR. LMHC (NPI 1619679644) is an individual mental health provider in Pace, Florida, licensed in Florida (MH21975) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1619679644

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameKEVIN EUGENE FRALEY JR.Credential: LMHC

Location Address4453 HIGHWAY 90Pace, FL 32571-2066

Mailing Address4453 Highway 90Pace, FL 32571-2066 · (850) 905-0110

Phone(850) 905-0110

Fax(850) 905-8600

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 21, 2023

NPPES CertifiedMarch 21, 2023

✔ NPI 1619679644 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 · MH21975

4453 HIGHWAY 90, Pace, FL 32571

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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).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Eugene Fraley Jr. Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799208757

PECOS Enrollment IDI20250331001945

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.

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.

PARTNERS FAMILY MEDICINE PRACTICE & RECOVERY CENTER INC

Counselor (Addiction (Substance Use Disorder))

4453 HIGHWAY 90
PACE, FL 32571

Santa Rosa County (850) 905-0110

MRS. LAURA BELLE MAUPIN ARNP

Nurse Practitioner (Family)

4453 HIGHWAY 90
PACE, FL 32571

Santa Rosa County (850) 905-0110

MS. SUSAN L SPEROPULOS LCSW

Social Worker (Clinical)

4453 HIGHWAY 90
PACE, FL 32571

Santa Rosa County (850) 905-0110

PARTNERS FAMILY MEDICINE PRACTICE AND ADDICTION RECOVERY CENTER INC.

Family Medicine

4453 HIGHWAY 90
PACE, FL 32571

Santa Rosa County (850) 905-0110

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 Kevin Fraley's NPI number?

The NPI number for Kevin Fraley is 1619679644. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Kevin Fraley located?

Kevin Fraley practices at 4453 Highway 90, Pace, FL 32571. The listed phone number is (850) 905-0110.

What is Kevin Fraley's specialty?

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

Is Kevin Fraley enrolled in Medicare?

Yes. Kevin Fraley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kevin Fraley accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kevin Fraley 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 Kevin Fraley was last updated on March 21, 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.