Katie Dole LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

6801092197 Issued in MI

Legal business name

KATIE DOLE LLC

Practice address

2190 Aurelius Rd
Holt, MI 48842-5540

Phone

(616) 881-1058

Fax

(616) 818-0260

NPI assigned

May 31, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathleen Margaret Sapita, LMSWNPI 1679826002

Title

Owner

Phone

(616) 881-1058

Specialties & licenses 3

Addresses

Other names 1

• MITTEN MENTAL HEALTH Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelsie Lynne Thomas, LMSW

  • Professional Counselor
  • Grand Ledge, MI
  • NPI 1013635648
  Medicare reassignment NPD
• Sara Ziel, LMSW

  • Clinical Social Worker
  • Lansing, MI
  • NPI 1225570690
  Medicare reassignment NPD
• Kathleen M Sapita, LMSW

  • Clinical Social Worker
  • Holt, MI
  • NPI 1679826002
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1003308503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 SORORITY LN",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488429427",
            "telephone_number": "616-881-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 AURELIUS RD",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488425540",
            "telephone_number": "616-881-1058",
            "fax_number": "616-818-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE DOLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "SAPITA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-881-1058",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801092197",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6801092197",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MI",
            "license": "6801092197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MITTEN MENTAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alec Ronald Johnson, PA-C
• Faith Ann Jones, LMT
• Just Therapy by Rob, LLC
• Erika Kay Kadhem
• Steven Kammeraad, ATC
• Kelly Anne Snyder, DDS, P.C.
• Amber Kemmerer
• Cassidy Kenyon, BSN
• Jiyeon Kim, NP
• Hannah Kimpel, PHARMD

• Adult Mental Health Clinic/Center in Holt, MI
• Providers in Holt, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.