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

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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