Katherine Fox Gasper
Individual provider Active NPI Professional Counselor · Ludington, MI
NPI 1053731372 · NPPES record last updated Apr 25, 2014
Key facts
- NPI
- 1053731372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401013726 (MI)
- Practice address
- 920 Diana St
Ludington, MI 49431-1987 - Phone
- (231) 845-6294
- Fax
- (231) 845-7095
- NPI assigned
- Apr 25, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- West Michigan Community Mental Health System
Practice addresses (Care Compare)
920 Diana St
Ludington, MI 49431-1987
Phone (231) 845-6294
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240206002765 | MI | Practitioner - Mental Health Counselor | 9830532977 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013726 | MI | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401013726 | MI | Yes |
Addresses
Primary practice location
920 Diana St
Ludington, MI 49431-1987
Mailing address
920 Diana St
Ludington, MI 49431-1987
Phone (231) 845-6294
Other providers in Ludington, MI
- Shannon Freeland
- Laura Freese
- Mary Claire Fu
- Heidi M Gamez
- Joanna Victoria Garrow
- Dawn Erin Gebhart
- Karen Carlson Genson
- Dannie Joe Gentry Jr.
- Michelle Marie Gentry
- George J Kelen MD PLLC
All providers in Ludington, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.