KELLY LANE STEVENS (NPI# 1861900458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861900458 |
| Entity Type | Individual |
| Full Name | KELLY LANE STEVENS |
| Credential | LMFT |
| Practice Address |
13453 N Main St Suite 104 Jacksonville FL 32218 |
| Practice Telephone | 9048013794 |
| Practice Fax Number | 9043399967 |
| Mailing Telephone | 9048013794 |
| Mailing Fax Number | 9043399967 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 024814800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598308454 | Kelly Lynn Stevens | Nurse Practitioner | 11124 Wembley Landing Dr, Lithia, FL 33547-4945 | 2019-10-23 |
| 1407196868 | Kelly A Stevens | Licensed Practical Nurse | 42 Iroquois Ave, Lancaster, NY 14086-1706 | 2013-02-22 |
| 1104811959 | Kelly Stevens | Physician Assistant | 710 11th St N, Columbus, MT 59019-7215 | 2005-09-19 |
| 1700397064 | Kelly Stevens | Physical Therapist | 2845 N Sheridan Rd, Suite 6400, Chicago, IL 60657 | 2017-10-13 |
| 1932645900 | Kelly Stevens | Occupational Therapist | 250 E Day Rd, Mishawaka, IN 46545-3471 | 2017-01-13 |
| 1649641978 | Kelly Lynn Stevens | Pharmacist | 2277 Iowa Ave, Independence, IA 50644-9106 | 2015-10-13 |
| 1427424522 | Kelly Stevens | Nurse Practitioner | 1141 S La Canada Dr, Green Valley, AZ 85614-1945 | 2015-08-12 |
| 1538546189 | Kelly L Stevens | Counselor | 106 Springview Ln, Summerville, SC 29485-8108 | 2015-05-04 |
| 1851417505 | Kelly A Stevens | Physician Assistant | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2007-03-22 |
| 1780700344 | Kelly Ann Stevens | Social Worker | 5505 Creedmoor Rd, Suite 100, Raleigh, NC 27612-6352 | 2007-03-22 |
| Street Address |
13453 N MAIN ST SUITE 104 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770716037 | Derash Inc | Home Health | 13453 N Main St, Suite 306, Jacksonville, FL 32218-2710 | 2009-09-02 |
| 1780192377 | Discovery Counseling Services, LLC | Counselor | 13453 N Main St, Suite 104, Jacksonville, FL 32218 | 2018-01-17 |
| 1215242359 | North Florida Sleep Solutions Inc | Clinic/Center | 13453 N Main St, Ste 304, Jacksonville, FL 32218-2710 | 2010-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730730391 | Richard Painter | Marriage & Family Therapist | 6823 Argyle Forest Blvd, Jacksonville, FL 32244-5730 | 2019-09-25 |
| 1144874660 | Misty Williams | Marriage & Family Therapist | 3730 Oregon City St, Jacksonville, FL 32227-1719 | 2019-08-01 |
| 1356800080 | Lakisha Yolanda Carter | Marriage & Family Therapist | 4569 Cape Elizabeth Ct E, Jacksonville, FL 32277-3219 | 2019-03-12 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
| 1518419514 | Kristina Himmelberg | Marriage & Family Therapist | 1100 Cesery Blvd., Jacksonville, FL 32211 | 2016-10-26 |
| 1881054591 | Virginia M. Boney, Ph.d. Lmft, Pa | Marriage & Family Therapist | 7545 Centurion Parkway, #105, Jacksonville, FL 32256 | 2016-02-24 |
| 1104248731 | Alicia Mcdermott | Marriage & Family Therapist | 7044 Deer Lodge Cir, #109, Jacksonville, FL 32256-8551 | 2014-01-16 |
| 1538500103 | Rashel Lee Lauret | Marriage & Family Therapist | 110 Branchwood Dr, Suite B, Jacksonville, NC 28546-5900 | 2013-07-11 |
| 1245589910 | Josephine Gianna Moss | Marriage & Family Therapist | 12629 Steeplechase Ln, Jacksonville, FL 32223-3506 | 2012-09-10 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
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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.