Jacqueline M Kuehn, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401013007 Issued in MI

Practice address

21905 Garrison St
Dearborn, MI 48124-2303

Phone

(734) 210-0231

NPI assigned

Jul 23, 2012

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

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.

• State of Grace Counseling PLLC

  • Professional Counselor
  • Dearborn, MI
  • NPI 1093301947
  NPD Authorized official

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1154676443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21905 GARRISON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242303",
            "telephone_number": "734-210-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21905 GARRISON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242303",
            "telephone_number": "734-210-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEHN",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401013007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Louis Krueger, OTR, CHT
• Emily J Krupa
• KT Investment LLC
• Branden Daniel Kubany
• Maggie Emma Kubik
• Kathleen Kuet, DDS
• Rachel Kugler
• Abigail Kuhn
• Tammy Lee Kujala, NP
• Bridget Kujansuu

• Counselor in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.