DR. KISHA NICOLE BAZELAIS PHD
NPI 1841637063
Psychologist - Counseling in St Petersburg, FL

Active since May 29, 2013PECOS Enrolled
7901 4TH ST N # 8939, ST PETERSBURG, FL 33702(305) 676-7347 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kisha Nicole Bazelais Phd NPPES

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

DR. KISHA NICOLE BAZELAIS PHD (NPI 1841637063) is an individual counseling provider in St Petersburg, Florida, licensed in Florida (PY9272) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1841637063
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameDR. KISHA NICOLE BAZELAISCredential: PHD
Location Address7901 4TH ST N # 8939St Petersburg, FL 33702-4305
Mailing Address9621 W Elm LnMiramar, FL 33025-2328 · (347) 743-4392
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 29, 2013
Last NPPES UpdateMay 30, 2025
NPPES CertifiedMay 30, 2025
NPI 1841637063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
Licenses Licensed in FL · PY9272 Licensed in NY · 020128
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License 020128 (NY)
7901 4TH ST N # 8939, St Petersburg, FL 33702

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)

Dr. Kisha Nicole Bazelais Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759518145
PECOS Enrollment IDI20250618003590
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.

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 Kisha Bazelais's NPI number?

The NPI number for Kisha Bazelais is 1841637063. It was assigned to this individual provider in the NPPES registry on May 29, 2013.

Where is Kisha Bazelais located?

Kisha Bazelais practices at 7901 4th St N # 8939, St Petersburg, FL 33702. The listed phone number is (305) 676-7347.

What is Kisha Bazelais's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Kisha Bazelais enrolled in Medicare?

Yes. Kisha Bazelais is registered in the Medicare PECOS enrollment system.

What insurance does Kisha Bazelais accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Kisha Bazelais 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 Kisha Bazelais was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.