Kayla Lynn Thrushman, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401018505 Issued in MI

Practice address

2B. S. Washington Ave.
Oxford, MI 48371

Phone

(248) 834-0614

NPI assigned

Oct 27, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Willows Edge LLC

  • Community/Behavioral Health Agency
  • Lake Orion, MI
  • NPI 1730484965
  NPD (past)

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1104378926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2B. S. WASHINGTON AVE.",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "48371",
            "telephone_number": "248-834-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2B. S. WASHINGTON AVE.",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "48371",
            "telephone_number": "248-834-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRUSHMAN",
        "first_name": "KAYLA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Tate
• Genevieve Marie Taylor, MA, LPC
• James C Teegarden, MA, MLP,CAADC
• Mirian Thiruchendru, FNP-C
• Amy M Thompson
• Corinne Nicole Tigner, OTRL
• Brian D. Titesworth, M.D.
• Training & Treatment Innovations
• Training & Treatment Innovations Inc
• Training & Treatment Innovations Inc

• Professional Counselor in Oxford, MI
• Providers in Oxford, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.