Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelley Wilson

Individual provider Mental Health Counselor · NPI 1104244474

Kelley Wilson is a Mental Health Counselor in Bradenton, Florida. Qualified in 1991, 35 years ago. Practices with Bradenton Best Life Counseling Center LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
35
Licensed in
FL
In the registry since
2014
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Practice location Address checks out

5131 Manatee Ave W
Bradenton, FL 34209-3740
Phone: (941) 792-0802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH7200 (FL)

Record details

NPI number1104244474
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2014
Last updated in NPPESApril 2, 2014
Mailing address7406 Loblolly Bay Trl, Lakewood Ranch, FL 34202-4167

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Bradenton Best Life Counseling Center Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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