KIZUNA COUNSELING LLC
NPI 1679363865
Counselor - Mental Health in Fort Walton Beach, FL

Active since May 09, 2025
922 MAR WALT DR STE 200, FORT WALTON BEACH, FL 32547(850) 517-6703(850) 204-9330 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2025, Jun 2, 2025, May 9, 2025 (3 updates tracked since 2025).

About Kizuna Counseling Llc NPPES

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

KIZUNA COUNSELING LLC (NPI 1679363865), doing business as Kizuna Counseling, is a healthcare organization registered as a mental health in Fort Walton Beach, Florida and active in the NPI registry since May 2025. The organization lists Alina Ayako Griffin, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1679363865
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameKIZUNA COUNSELING LLC
Location Address922 MAR WALT DR STE 200Fort Walton Beach, FL 32547-6703
Mailing Address922 Mar Walt Dr Ste 200Fort Walton Beach, FL 32547-6703 · (850) 517-6703 · Fax (850) 204-9330
Fax(850) 204-9330
Organization SubpartNo
Authorized OfficialAlina Ayako GriffinSole Proprietor · (850) 517-4604
Enumeration DateMay 9, 2025
Last NPPES UpdateJune 9, 20253 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1679363865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
922 MAR WALT DR STE 200, Fort Walton Beach, FL 32547

Other Names 1

Doing Business AsKizuna Counseling

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kizuna Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kizuna Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1326546482
922 MAR WALT DR STE 200
Fort Walton Beach, FL 32547
(850) 517-4604
✔ PECOS✔ Accepts MedicareSame address

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

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 Kizuna Counseling LLC's NPI number?

The NPI number for Kizuna Counseling LLC is 1679363865. It was assigned to this organization in the NPPES registry on May 9, 2025. The provider is doing business as Kizuna Counseling.

Where is Kizuna Counseling LLC located?

Kizuna Counseling LLC is located at 922 Mar Walt Dr Ste 200, Fort Walton Beach, FL 32547. The listed phone number is (850) 517-6703.

What is Kizuna Counseling LLC's specialty?

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

Is Kizuna Counseling LLC enrolled in Medicare?

Yes. Kizuna Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kizuna Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Kizuna Counseling LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kizuna Counseling LLC was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.