Active NPI
Kelsie Lynne Thomas, LMSW
- Professional Counselor
- Grand Ledge, MI
National Provider Identifier
1013635648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6801114644
- Practice address
- 1035 Charlevoix Dr Ste 100
Grand Ledge, MI 48837-2223 - Phone
- (517) 622-6475
- Fax
- (517) 622-1242
- NPI assigned
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6801114644 | MI | Primary |
Addresses
Primary practice location
1035 Charlevoix Dr Ste 100
Grand Ledge, MI 48837-2223
Mailing address
1035 Charlevoix Dr Ste 100
Grand Ledge, MI 48837-2223
Phone (517) 627-2181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801114644 | Other | MI | STATE LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kelsie.barnhart@fmom.directbygreenway.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 Charlevoix Dr
Suite 100
Grand Ledge, MI 48837-2223
Phone (517) 627-2181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katie Dole LLC | Current | Accepting new patients | |
| David J. Smith MD PC | Professional | Current | Accepting new patients |
Locations
1035 Charlevoix Dr
Ste 100
Grand Ledge, MI 48837
Phone (517) 622-6446
3410 Belle Chase Way
Ste 100
Lansing, MI 48911
Phone (616) 881-1058
Interoperability endpoints
- kelsie.barnhart@fmom.directbygreenway.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Holt, MI
- NPI 1003308503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1013635648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 CHARLEVOIX DR STE 100",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488372223",
"telephone_number": "517-627-2181",
"fax_number": "517-622-1242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 CHARLEVOIX DR STE 100",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488372223",
"telephone_number": "517-622-6475",
"fax_number": "517-622-1242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KELSIE",
"middle_name": "LYNNE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6801114644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "6801114644",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kelsie.barnhart@fmom.directbygreenway.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1035 Charlevoix Dr Ste 100",
"city": "Grand Ledge",
"state": "MI",
"country_code": "US",
"postal_code": "488372223",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Ledge, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.