KAILEY ROSE MAHAN (NPI# 1588042089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588042089 |
| Entity Type | Individual |
| Full Name | KAILEY ROSE MAHAN |
| Credential | LMHC |
| Practice Address |
5095 S Washington Ave Ste 102 Titusville FL 32780-7333 |
| Mailing Address |
4440 Osceola Rd Titusville FL 32780-6545 |
| Practice Telephone | 4079176828 |
| Practice Fax Number | 3218884922 |
| Mailing Telephone | 3214827429 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH16362 | FL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | KINDER CONSULTING | 101YM0800X | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2479 Aloma Ave, Winter Park, FL 327922541 | 4026576692 |
| Street Address |
5095 S WASHINGTON AVE STE 102 |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32780-7333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326658824 | Mary Elizabeth Carr-de Vries | Counselor | 5095 S Washington Ave Ste 102, Titusville, FL 32780-7333 | 2020-08-09 |
| 1285291633 | Mahan Counseling, LLC | Counselor | 5095 S Washington Ave Ste 102, Titusville, FL 32780-7333 | 2019-05-21 |
| 1689035123 | Bethany Lynne Livingston | Counselor | 5095 S Washington Ave Ste 102, Titusville, FL 32780-7333 | 2016-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400207 | Elizabeth Hardin | Chiropractor | Florida Sports and Spinal Rehab, 3910 S. Washington Ave., Titusville, FL 32780 | 2020-06-01 |
| 1477033934 | Eye Doctors Optical Outlets, Pa | Optometrist | 2510 S Washington, Suite 140, Titusville, FL 32780 | 2018-08-15 |
| 1427566819 | Marlene Joyce Rosenzweig | Home Health | 1415 Thornton Avenue, Titusville, FL 32780 | 2018-01-19 |
| 1962913681 | Medfast Urgent Care Center, LLC | Clinic/Center | 1840 South Washington Ave, Titusville, FL 32780 | 2017-10-20 |
| 1982122586 | Annie Durand | Physical Therapist | 4352 Derbyshire Drive, Titusville, FL 32780 | 2017-09-03 |
| 1205352341 | Hearing Healthcare Solutions, Inc. | Hearing Instrument Specialist | 2625 Barna Ave, Suite J, Titusville, FL 32780 | 2017-08-21 |
| 1134663669 | Laura Starks | Behavior Technician | 1000 Tree Lane Apt H, Titusville, FL 32780 | 2016-12-19 |
| 1235500471 | Comfortable Care Dental Health Professionals, Pa | Dentist | 3135 Columbia Blvd, Suite 100, Titusville, FL 32780 | 2015-10-14 |
| 1174994412 | Amanda Howell | Counselor | 5280 Watermill Lane Apt 305, Titusville, FL 32780 | 2015-10-13 |
| 1609267939 | Bykota Acupuncture | Acupuncturist | 1007 South Washington Ave, Titusville, FL 32780 | 2015-02-09 |
| Find all providers in zip 32780 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382935 | Melissa Sue Buhler | Counselor | 1067 Cheney Hwy, Titusville, FL 32780-6356 | 2020-10-01 |
| 1447872726 | Michael Richards | Counselor | 3091 Sir Hamilton Cir, Titusville, FL 32780-4959 | 2020-05-10 |
| 1033730528 | Betty Bobay | Counselor | 5944 Windover Way, Titusville, FL 32780-7408 | 2020-05-06 |
| 1619502515 | Preston Pinson Counseling | Counselor | 2323 S Washington Ave, Titusville, FL 32780-4755 | 2020-03-11 |
| 1497217731 | Bethany Livingston Lmhc LLC | Counselor | 915 Breakaway Trl, Titusville, FL 32780-3263 | 2019-04-04 |
| 1881108488 | Sylvia Diane Dorsey | Counselor | 3750 Sawgrass Dr, Titusville, FL 32780-3415 | 2017-11-20 |
| 1497295034 | Deeann Capece | Counselor | 1540 Riverside Dr Apt 102, Titusville, FL 32780-4731 | 2017-03-01 |
| 1174994412 | Amanda Howell | Counselor | 5280 Watermill Lane Apt 305, Titusville, FL 32780 | 2015-10-13 |
| 1386052108 | Jessica L Smith | Counselor | 1600 Thornton Ave, Titusville, FL 32780-4445 | 2014-07-24 |
| 1457680902 | Rachel Anne Birkel-rothleutner | Counselor | 1040 Lundy Dr, Titusville, FL 32796-2387 | 2009-12-11 |
| Find all providers in TITUSVILLE | ||||
| City | TITUSVILLE |
| Zip Code | 32780 |
Please comment or provide details below to improve the information on KAILEY ROSE MAHAN.
| 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.