Kathleen Marie Vanneste-Kortebein, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401007622 Issued in MI

Practice address

27735 Jefferson Ave
Saint Clair Shores, MI 48081-1309

Phone

(586) 777-8929

NPI assigned

Jan 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kathleen Marie Kortebein Former name

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

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grace Counseling IncGroup PAC ID 6507143161, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grace Counseling, Inc

  • Professional Counselor
  • Chesterfield, MI
  • NPI 1417328477
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1483747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483747200000",
    "number": "1023554540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27735 JEFFERSON AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811309",
            "telephone_number": "586-777-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27735 JEFFERSON AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811309",
            "telephone_number": "586-777-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNESTE-KORTEBEIN",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-07",
        "last_updated": "2017-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "KORTEBEIN",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "LLPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leah Sara Vandenbussche, MD
• Patricia Vandevyver, LMSW
• Natasha Nicole Vangessel
• Vanhoutteghem Chiropractic Clinic
• Arthur J. Vanhoutteghem, D.C.
• Sarah Vansullen, LMSW, RN
• Maggie Varney
• Michelle Marie Varney, MA, CCC-SLP
• Matthew Vasko, M.D.
• Renee Vatne, PT

• Professional Counselor in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2017; 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.

Verify at the official NPI Registry.