Libbee Jo Kelingos, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6451019493 Issued in MI

Practice address

2528 W Wackerly St
Midland, MI 48640-6921

Phone

(989) 832-0191

Fax

(989) 486-9413

NPI assigned

Jul 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 7, 2024 through May 7, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Still Water Professional Counseling, LLC

  • Professional Counselor
  • Midland, MI
  • NPI 1609381631
  NPD (past)

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1033781901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 MANOR DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404440",
            "telephone_number": "989-948-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406921",
            "telephone_number": "989-832-0191",
            "fax_number": "989-486-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELINGOS",
        "first_name": "LIBBEE",
        "middle_name": "JO",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451019493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynne Keenihan, MS OTR/L
• Kehres Health and Chiropractic
• Jyl Kirsten Keinath
• Jennifer Keister, LMSW
• Caitlyn Kelenske
• Shannon Kellenberger
• Amanda L Kellogg, NP
• Michelle Ann Kennedy
• Tina M Kennedy, M.B.A. R.D.
• Matthew P Kenny, PA-C

• Professional Counselor in Midland, MI
• Providers in Midland, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.