Active NPI
Kelly Fletcher, LLMSW
- Mental Health Counselor
- Belleville, MI
National Provider Identifier
1073896445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 680703064
- Practice address
- 25 Owen
Belleville, MI 48111 - Phone
- (734) 697-7880
- Fax
- (734) 697-7377
- NPI assigned
- Sep 22, 2011
- Last updated
- Sep 22, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 680703064 | MI | Primary |
Addresses
Primary practice location
25 Owen
Belleville, MI 48111
Mailing address
25 Owen St
Belleville, MI 48111-2921
Phone (734) 697-7880
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 |
|---|---|---|---|
| 680703064 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1073896445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 OWEN ST",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "481112921",
"telephone_number": "734-697-7880",
"fax_number": "734-697-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 OWEN",
"city": "BELLEVILLE",
"state": "MI",
"postal_code": "48111",
"telephone_number": "734-697-7880",
"fax_number": "734-697-7377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "KELLY",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "680703064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, MI
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- David J Everingham, D.O.
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- Family Dentistry & Assoc. of Belleville P.C.
- Sheila Margarita Fernandez-Hiraldo, MSW
- Wadler Fleurina, PA-C
- Daniel Ricardo Flores, ADC-II, ICADC
- Focus Care LLC
- Jennifer A Foess-Halaas
- Mark Edward Fogarty, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.