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

Kelly Jennings, MH21536

Individual provider Mental Health Counselor · NPI 1043923147

Kelly Jennings, MH21536 is a Mental Health Counselor in Tavares, Florida. Qualified in 2020, 6 years ago. Practices with Family Life Counseling Center, a 13-clinician group, works from 6 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

858 S Duncan Dr
Tavares, FL 32778-4044
Phone: (352) 609-5103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1965 S Orange Blossom Trl, Apopka, FL 32703-7757 — (352) 708-6283
  • 210 N Highway 27 Ste 4, Clermont, FL 34711-2411 — (352) 708-6283
  • 100 S Kentucky Ave, Lakeland, FL 33801-5096 — (352) 708-6283
  • 858 S Duncan Dr, Tavares, FL 32778-4044 — (352) 708-6283
  • 9100 Conroy Windermere Rd, Windermere, FL 34786-8431 — (352) 708-6283

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH21536 (FL)

Record details

NPI number1043923147
Entity typeIndividual (Type 1)
GenderFemale
Credentials MH21536
Sole proprietorNo
NPI enumeratedJanuary 4, 2023
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Family Life Counseling Center — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Tavares