Kimberly Ann Ferns, LLPC, DP-C

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6451022000 Issued in MI

Practice address

1255 N Oakland Blvd
Waterford, MI 48327-1545

Phone

(248) 599-8999

NPI assigned

Dec 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1053070292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21225 DANBURY ST",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481831607",
            "telephone_number": "734-778-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 N OAKLAND BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271545",
            "telephone_number": "248-599-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "LLPC, DP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451022000",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6451022000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fast Solution Inc
• Gianetta Feistel, LMSW, ACSW
• Shannon Renee Fell, CAC-M
• Quianee Shantae Felton
• Kristine Lynn Femminineo, MACCC-SLP
• George Fettig
• Fiddlers Green Counseling PLLC
• Allison Christine Fiori, OD
• Monica Fischer
• Kari Fisk

• Addiction (Substance Use Disorder) Counselor in Waterford, MI
• Providers in Waterford, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.