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

Kellie W Foster

Individual provider Counselor · NPI 1407229883

Kellie W Foster is a Mental Health Counselor in Lake City, Florida. Qualified in 2013, 13 years ago. Works from 2 locations. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2015
Specialties on file
2

Practice location Address checks out

439 SW Michigan St
Lake City, FL 32025-0440
Phone: (386) 487-0800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4300 Sw 13th St, Gainesville, FL 32608-4006 — (352) 374-5600

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH18250 (FL)
Counselor Taxonomy 101Y00000X · Licence IMH 13298 (FL)

Record details

NPI number1407229883
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 5, 2015
Last updated in NPPESAugust 10, 2020
Certification dateAugust 10, 2020
Mailing address4300 Sw 13th St, Gainesville, FL 32608-4006

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Lake City