Individual provider Active NPI

Kerry Anne Minshew, LPC

  • Counselor
  • Canton, MI
National Provider Identifier
1053888446
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401014731 Issued in MI
Practice address
42283 Highgate CT
Canton, MI 48187-3523
Phone
(734) 981-9081
Fax
(734) 981-9081
NPI assigned
Oct 24, 2018
Last updated
Oct 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401014731 MI Primary

Addresses

Primary practice location

42283 Highgate CT
Canton, MI 48187-3523

Mailing address

42283 Highgate CT
Canton, MI 48187-3523
Phone (734) 981-9081

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

LicenseStateTypeSpecialty
6401014731MIMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1053888446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42283 HIGHGATE CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873523",
            "telephone_number": "734-981-9081",
            "fax_number": "734-981-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42283 HIGHGATE CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873523",
            "telephone_number": "734-981-9081",
            "fax_number": "734-981-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINSHEW",
        "first_name": "KERRY",
        "middle_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.