MRS. KELLY ROBIN MCCRACKEN (NPI# 1457581969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457581969 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ROBIN MCCRACKEN |
| Other Name | MS. KELLY ROBIN SMITH |
| Credential | LMHC |
| Practice Address |
195 Wekiva Springs Rd. Suite 300 Longwood FL 32779 |
| Practice Telephone | 4077545737 |
| Practice Fax Number | 4077887400 |
| Mailing Telephone | 4077545737 |
| Mailing Fax Number | 4077887400 |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
8537 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104489996 | Kelly Ann Mccracken | Specialist/Technologist | 4363 337th Pl Se, Fall City, WA 98024-1253 | 2019-04-17 |
| 1780945279 | Kelly Leigh Mccracken | Dentist | 8915 State Ave, Kansas City, KS 66112-1645 | 2012-05-31 |
| 1760808703 | Kelly R Mccracken | Physician Assistant | 6481 Carlisle Pike, Mechanicsburg, PA 17050-2377 | 2014-03-14 |
| 1518293869 | Kelly Mccracken | Social Worker | 295 N Main St, Barre, VT 05641-4108 | 2009-10-21 |
| 1992855720 | Kelly L Mccracken | Registered Nurse | 777 Bannock St, Mc 7782, Denver, CO 80204-4507 | 2007-01-12 |
| Street Address |
195 WEKIVA SPRINGS RD. SUITE 300 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268854 | Erin Nicole Marsh | Speech-Language Pathologist | 2957 W State Rd. 434 Suite 100, Longwood, FL 32779 | 2020-02-23 |
| 1902443294 | Melanie Lynn Milner | Chiropractor | 2160 West S.r. 434, Unit 108, Longwood, FL 32779 | 2019-12-05 |
| 1538723440 | Darby Anne Santora | Speech-Language Pathologist | 2957 W 434 State Road, #100, Longwood, FL 32779 | 2019-04-25 |
| 1508336645 | Lashawnda L Richmond | Counselor | 207 Briar Cliff Dr, Longwood, FL 32779 | 2018-12-02 |
| 1992275598 | The Center of Life Counseling, LLC | Clinic/Center | 300 N. Ronald Reagan Blvd. #302, Longwood, FL 32779 | 2018-11-27 |
| 1770052508 | Megan Elizabeth Runyan | Speech-Language Pathologist | 1511 Suzanne Way, Longwood, FL 32779 | 2018-11-22 |
| 1003398447 | Neha Patel | Physical Therapist | 500 Village Place, Longwood, FL 32779 | 2018-09-01 |
| 1487146122 | Wai Acupuncture & Integrative Chinese Medicine LLC | Acupuncturist | 2901 West S.r. 434, Suite 141, Longwood, FL 32779 | 2018-05-30 |
| 1396130217 | Alison Marie Nasuti | Occupational Therapy Assistant | 2989 Wsr 434, Suite 200, Longwood, FL 32779 | 2015-03-30 |
| 1346646288 | Abby Louise Hertel | Speech-Language Pathologist | 2917 W State Road 434, Longwood, FL 32779 | 2014-11-04 |
| Find all providers in zip 32779 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867702 | Sebastiana Halpin | Counselor | 254 S Ronald Reagan Blvd Ste 134, Longwood, FL 32750-5490 | 2020-07-01 |
| 1972152577 | Lauren Marie Eadie | Counselor | 300 N Ron Reagan Blvd Ste 302, Longwood, FL 32750-5902 | 2019-09-05 |
| 1679129647 | Renee Storm | Counselor | 111 S Sweetwater Blvd, Longwood, FL 32779-3415 | 2019-08-14 |
| 1669969655 | Lindsey V Birmele | Counselor | 300 N Ronald Reagan Blvd Ste 206, Longwood, FL 32750-4162 | 2018-04-16 |
| 1518466879 | Tyler Wild | Counselor | 740 Florida Central Pkwy Ste 2008, Longwood, FL 32750-7653 | 2018-02-01 |
| 1184075392 | Bernadette Mckenzie | Counselor | 587 E Sr 434 Unit 1021, Longwood, FL 32750-5284 | 2016-06-29 |
| 1992171052 | Santa Rowley | Counselor | 118 Heather Hl, Longwood, FL 32750-3804 | 2015-08-12 |
| 1376937904 | Eric Wettstein | Counselor | 480 Winding Creek Pl, Longwood, FL 32779-6117 | 2015-03-20 |
| 1811380108 | Taryn Stevenson | Counselor | 1907 Lucky Trl, Longwood, FL 32750-3315 | 2015-03-10 |
| 1497145148 | Caitlin Rhea Hilligas | Counselor | 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 | 2015-02-03 |
| Find all providers in LONGWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.