KELLY MARIE KISIDA NPI 1184434607

NPI Information

  • NPI: 1184434607
  • Provider Name: KELLY MARIE KISIDA
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 853 SR 436
    SUITE 2099
    CASSELBERRY, FL
    ZIP 32707
  • Phone: (407) 906-6167

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NPI Details

Kelly Marie Kisida is a counselor in Casselberry, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Kelly Marie Kisida NPI is 1184434607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

853 SR 436
SUITE 2099
CASSELBERRY, FL
ZIP 32707
Phone: (407) 906-6167

The enumeration date for this NPI number is 1/8/2025 and was last updated on 1/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor27040FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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