KIM A KELLY LMHC
NPI 1851630412
Counselor - Mental Health in Jacksonville, FL

Q: What is Kim Kelly's NPI number?

The NPI number for Kim Kelly is 1851630412. It was assigned to this individual provider in the NPPES registry on February 1, 2013.

Q: What is Kim Kelly'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 Kim Kelly was last updated on July 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 February 01, 2013

2528 OAK ST, JACKSONVILLE, FL 32204(904) 647-7567 Get Directions Write a Review

NPPES record last updated: July 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kim A Kelly Lmhc NPPES

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

KIM A KELLY LMHC (NPI 1851630412) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH8940) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1851630412

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKIM A KELLYCredential: LMHC

Location Address2528 OAK STJacksonville, FL 32204-4504

Mailing Address4638 Royal AveJacksonville, FL 32205-4952 · (904) 647-7567 · Fax (904) 647-7568

Phone(904) 647-7567

Sole ProprietorNo

Enumeration DateFebruary 1, 2013

Last NPPES UpdateJuly 6, 2013

✔ NPI 1851630412 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 · MH8940

2528 OAK ST, Jacksonville, FL 32204

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Other Providers at the Same Location NPPES 3

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

MODALITY, INC.

Counselor (Mental Health)

2528 OAK ST
JACKSONVILLE, FL 32204

Duval County (904) 647-7567

MARY J SCHILPP LMHC

Counselor (Mental Health)

2528 OAK ST
JACKSONVILLE, FL 32204

Duval County (954) 873-1156

SUSAN LASSITER

Counselor (Mental Health)

2528 OAK ST
JACKSONVILLE, FL 32204

Duval County (954) 632-9998

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 Kim Kelly's NPI number?

The NPI number for Kim Kelly is 1851630412. It was assigned to this individual provider in the NPPES registry on February 1, 2013.

Where is Kim Kelly located?

Kim Kelly practices at 2528 Oak St, Jacksonville, FL 32204. The listed phone number is (904) 647-7567.

What is Kim Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Kim Kelly was last updated on July 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.