Katie Ann Kesterson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401017933 Issued in MI

Practice address

42815 Garfield Rd Ste 201
Clinton TWP, MI 48038-1143

Phone

(586) 333-5328

NPI assigned

Nov 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Chicago College of Medicine and Surgery, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Macomb Therapy Group PLLCGroup PAC ID 4981978418, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Macomb Therapy Group, PLLC

  • Professional Counselor
  • Clinton Township, MI
  • NPI 1801245972
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1093350985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26100 CUBBERNESS ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813308",
            "telephone_number": "586-864-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42815 GARFIELD RD STE 201",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381143",
            "telephone_number": "586-333-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTERSON",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401017933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Lynne Kelahan, MPT
• Rachel Lynn Keller
• Michael J Kenneson, D.O.
• Linda Joye Kern, MSW
• Howard B Kerwin, DO
• Kianoush Khaghany, MD
• Lafi Saba Khalil, MD
• Shabbir Khambati, MD
• Amena Nishat Khan, LLPC
• Amin R Khan, M.D.

• Mental Health Counselor in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.