Kent Ryan Kelley
Counselor, Mental Health in Sarasota, FL. Individual provider (NPI-1).
NPI number1003449802
StatusActive
Last updated in NPPESFeb 20, 2020
Details
- NPI
- 1003449802
- Entity type
- Individual (NPI-1)
- Name
- Kent Ryan Kelley
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 20, 2020
- Certification date
- Feb 20, 2020
- Last updated
- Feb 20, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | BBH-LCPC-LIC-11444 | MT | Yes |
Practice location
306 Island CirSarasota, FL 34242-1938
Phone 941-307-3592
Mailing address
306 Island CirSarasota, FL 34242-1938
Phone 941-307-3592
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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