KYLIE J LIDDLE MS, LMHC
NPI 1962775213
Counselor - Mental Health in Fort Myers, FL
About Kylie J Liddle Ms, Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLIE J LIDDLE MS, LMHC (NPI 1962775213) is an individual mental health provider in Fort Myers, Florida, licensed in Indiana (39004731A) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Madison.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kylie J Liddle Ms, Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
FORT MYERS, FL 33907
FORT MYERS, FL 33907
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 Liddle's NPI number?
The NPI number for Kylie Liddle is 1962775213. It was assigned to this individual provider in the NPPES registry on February 17, 2012.
Where is Kylie Liddle located?
Kylie Liddle practices at 12553 New Brittany Blvd # 32, Fort Myers, FL 33907. The listed phone number is (727) 490-8513.
What is Kylie Liddle's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kylie Liddle enrolled in Medicare?
Yes. Kylie Liddle is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kylie Liddle was last updated on August 2, 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.
# Kylie J Liddle, MS, LMHC · NPI 1962775213
Mental Health provider in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since February 17, 2012.
## Identity
- **NPI:** 1962775213 (Entity type: Individual)
- **Enumerated:** February 17, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 39004731A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12553 NEW BRITTANY BLVD # 32, Fort Myers, FL 33907-3625
- **Phone:** (727) 490-8513
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
## Record status
- **NPPES last updated:** August 2, 2024
- **Other identifiers:** Medicaid 1962775213 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1962775213) · Data from the CMS NPPES public registry.