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KELLY LANE STEVENS LMFT
NPI 1861900458
Marriage & Family Therapist in Jacksonville, FL

Active since January 17, 2018PECOS Enrolled
13453 N MAIN ST STE 104, JACKSONVILLE, FL 32218(904) 773-4390(941) 621-7089 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2020, May 1, 2018, Jan 17, 2018 (3 updates tracked since 2018).

About Kelly Lane Stevens Lmft NPPES

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

KELLY LANE STEVENS LMFT (NPI 1861900458) is an individual marriage & family therapist in Jacksonville, Florida and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1861900458
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLY LANE STEVENSCredential: LMFT
Location Address13453 N MAIN ST STE 104Jacksonville, FL 32218-2773
Mailing Address13453 N Main St, Suite 104Jacksonville, FL 32218 · (904) 773-4390 · Fax (941) 621-7089
Phone(904) 773-4390
Fax(941) 621-7089
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 17, 2018
Last NPPES UpdateMarch 29, 20243 updates tracked since enumeration
NPPES CertifiedMarch 29, 2024
✔ NPI 1861900458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
13453 N MAIN ST STE 104, Jacksonville, FL 32218
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Other Identifiers 1

OtherSG014FL · Medicare

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), Oscar Health Maintenance Organization of Florida and more.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)

Kelly Lane Stevens Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577956309
PECOS Enrollment IDI20240130001881
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 6

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

MRS. TASHA ELLSBERRY APRN, FNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
13453 N MAIN ST STE 104
JACKSONVILLE, FL 32218
Duval County (904) 773-4390
DISCOVERY MENTAL HEALTH SERVICES
Counselor (Mental Health)
13453 N MAIN ST STE 104
JACKSONVILLE, FL 32218
Duval County (904) 773-4390
YAJAIRA HAUSMAN
Counselor (Mental Health)
13453 N MAIN ST STE 104
JACKSONVILLE, FL 32218
Duval County (904) 773-4390
MICHAEL COULTER APRN
Nurse Practitioner (Psychiatric/Mental Health)
13453 N MAIN ST STE 104
JACKSONVILLE, FL 32218
Duval County (904) 773-4390
J&K MENTAL HEALTH SERVICES LLC
Marriage & Family Therapist
13453 N MAIN ST STE 104
JACKSONVILLE, FL 32218
Duval County (904) 773-4390
CHALOW AUSTIN LMHC
Counselor (Mental Health)
13453 N MAIN ST STE 104
JACKSONVILLE, FL 32218
Duval County (904) 773-4390

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 Kelly Stevens's NPI number?

The NPI number for Kelly Stevens is 1861900458. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Where is Kelly Stevens located?

Kelly Stevens practices at 13453 N Main St Ste 104, Jacksonville, FL 32218. The listed phone number is (904) 773-4390.

What is Kelly Stevens's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kelly Stevens enrolled in Medicare?

Yes. Kelly Stevens is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Stevens 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 Kelly Stevens 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 Kelly Stevens was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.