Active NPI
Kaylee Patterson, LPC
- Counselor
- Traverse City, MI
National Provider Identifier
1053789172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401017892
- Practice address
- 862 E 8TH St Ste G-3
Traverse City, MI 49686-2727 - Phone
- (231) 642-1962
- Fax
- (231) 401-1055
- NPI assigned
- Sep 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401017892 | MI | |
| Counselor | 101Y00000X | 6401017892 | MI | Primary |
Addresses
Primary practice location
862 E 8TH St Ste G-3
Traverse City, MI 49686-2727
Mailing address
611 Bates St
Traverse City, MI 49686-3308
Phone (231) 642-1962
Other practice location 1
810 Cottageview Dr Ste 101
Traverse City, MI 49684-2392
Phone (231) 642-2778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401017892 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sense of Self | Counselor | Current | Accepting new patients |
Locations
862 E Eighth St
Ste G3
Traverse City, MI 49686
Phone (231) 642-1962
Organizations & group practices 1
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.
-
- Counselor
- Traverse City, MI
- NPI 1417706441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1053789172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 BATES ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863308",
"telephone_number": "231-642-1962",
"fax_number": "231-401-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "862 E 8TH ST STE G-3",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496862727",
"telephone_number": "231-642-1962",
"fax_number": "231-401-1055"
}
],
"practiceLocations": [
{
"address_1": "810 Cottageview Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496842392",
"country_code": "US",
"telephone_number": "231-642-2778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "KAYLEE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-05",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401017892",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401017892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
- Pathways Chiropractic PLLC
- Pathways Integrative and Lifestyle Medicine PC
- Patient Care Specialists PLC
- Patrick J Kiella OD
- Alexis Patterson
- Sarah E Patterson, DPT
- Krista Marie Patz, LMSW
- Paul D Winkler Behavioral Health Services PLC (Goshawk Behavioral Health Servcies)
- Paul F. Davis, M.D., P.L.C.
- Karen Anne Paulosky-Benton, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.