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

Mr. Kyle Short

Individual provider Mental Health Counselor · NPI 1073199048

Mr. Kyle Short is a Mental Health Counselor in Boynton Beach, Florida. Qualified in 2018, 8 years ago. Practices with Senior Living Memory Health Inc, a 111-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

2500 Quantum Lakes Dr Ste 105
Boynton Beach, FL 33426-8308
Phone: (561) 770-1780
Fax: (833) 562-8893
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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 IMH17305 (FL)

Record details

NPI number1073199048
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 22, 2021
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021
Mailing address2500 Quantum Lakes Dr Ste 105, Boynton Beach, FL 33426-8308

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Senior Living Memory Health Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Boynton Beach