Provider Demographics
NPI:1538842422
Name:RONGE, KACI ANN (MA, LMHC, NCC)
Entity type:Individual
Prefix:
First Name:KACI
Middle Name:ANN
Last Name:RONGE
Suffix:
Gender:F
Credentials:MA, LMHC, NCC
Other - Prefix:
Other - First Name:KACI
Other - Middle Name:ANN
Other - Last Name:CROOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8500 BELCHER RD N APT 1401
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-1012
Mailing Address - Country:US
Mailing Address - Phone:727-510-5197
Mailing Address - Fax:
Practice Address - Street 1:575 49TH ST S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-2660
Practice Address - Country:US
Practice Address - Phone:727-308-6094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH23647101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health