KERRIE LEWIS – Mental Health Counselor, NPI 1205221595

KERRIE LEWIS is a healthcare provider. based in Defuniak springs, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. MH13271 (FL). The NPI Number for KERRIE LEWIS is 1205221595

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KERRIE LEWIS
NPI
1205221595
Phone
(850) 892-8045
Address
3686 US HIGHWAY 331 S
Enumeration Date
2 April 2015
Last Update Date
29 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8505224485
Graduation Year
2012 (14 years ago)
PAC ID
9830549823
Group Practice PAC ID
9739162371
Professional Enrollment ID
I20240103003129
Address ID
FL324253068BO310XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for KERRIE LEWIS

  • 3686 US HIGHWAY 331 S

    DEFUNIAK SPRINGS, FL 324358463

    Phone: (850) 892-8045

    Fax: (850) 892-8039

    Type: Mailing

  • 1221 W LAKEVIEW AVE

    PENSACOLA, FL 325011836

    Phone: (850) 469-3500

    Fax: (850) 595-1400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240103003129IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32435)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739162371View full group profile
NameSpecialtyState
P S Y C H I A T R YFL
Nurse PractitionerKY
Mental Health CounselorFL
Nurse PractitionerFL
Nurse PractitionerFL
P S Y C H I A T R YNC
Nurse PractitionerFL
-FL
Mental Health CounselorFL
-FL

Reviews

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Frequently asked questions

How do payers reference KERRIE LEWIS?
For KERRIE LEWIS, use NPI 1205221595 as the unique 10-digit identifier.
Is KERRIE LEWIS still an active registrant?
KERRIE LEWIS carries an active NPI according to the public dataset.
What area of care is associated with KERRIE LEWIS?
KERRIE LEWIS's record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with KERRIE LEWIS?
Directory geography for KERRIE LEWIS centers on Defuniak Springs, Florida.
When was this NPI issued?
Enumeration for KERRIE LEWIS is noted as April 2, 2015 where the registry provides it.

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