1. Home
  2. Directory
  3. Florida
  4. Fernandina Beach
  5. Counselor
  6. NPI Profile

KYLIE CHAMPA
NPI 1952912834
Counselor - Mental Health in Fernandina Beach, FL

Active since August 13, 2020
1896 S 14TH ST, FERNANDINA BEACH, FL 32034(904) 310-9652 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2026, Aug 13, 2020 (2 updates tracked since 2020).

About Kylie Champa NPPES

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

KYLIE CHAMPA (NPI 1952912834) is an individual mental health provider in Fernandina Beach, Florida, licensed in Florida (MH27357) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1952912834
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKYLIE CHAMPA
Location Address1896 S 14TH STFernandina Beach, FL 32034-1999
Mailing Address96051 Bass LnYulee, FL 32097-6593 · (954) 495-5614
Phone(904) 310-9652
Sole ProprietorYes
Enumeration DateAugust 13, 2020
Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1952912834 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 · MH27357
1896 S 14TH ST, Fernandina Beach, FL 32034
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. FELIX ALEXANDER SOLEH APRN, PMHNP-C
Nurse Practitioner (Psychiatric/Mental Health)
1896 S 14TH ST
FERNANDINA BEACH, FL 32034
Nassau County (904) 310-9652

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 Kylie Champa's NPI number?

The NPI number for Kylie Champa is 1952912834. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Where is Kylie Champa located?

Kylie Champa practices at 1896 S 14th St, Fernandina Beach, FL 32034. The listed phone number is (904) 310-9652.

What is Kylie Champa'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 Kylie Champa was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.