Individual provider Active NPI

Kelsie Lynne Thomas, LMSW

  • Professional Counselor
  • Grand Ledge, MI
National Provider Identifier
1013635648
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6801114644 Issued in MI
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

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6801114644OtherMISTATE LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230123000895 MI Practitioner - Clinical Social Worker 7113398595 Reassigns benefits to 2 organizations

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
David J. Smith MD PCGroup PAC ID 2567431729, 16 clinicians

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

OrganizationSpecialtyStatusNew patients
Katie Dole LLC CurrentSince Oct 1, 2025 Accepting new patients
David J. Smith MD PC Professional CurrentSince Jan 1, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.