Celine Mary Klecker, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401011729 Issued in MI

Practice address

333 E Grand River Ave
Brighton, MI 48116-1513

Phone

(810) 599-9591

NPI assigned

Oct 14, 2009

Last updated

Dec 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kelly Riley PLLCGroup PAC ID 2466882279, 7 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kelly Riley, PLLC

  • Clinical Social Worker
  • Brighton, MI
  • NPI 1306122056
  Medicare reassignment Care Compare group NPD
• The Light Psychotherapy and Counseling Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brighton, MI
  • NPI 1174119523
  NPD Authorized official
• Med Sports Vantage PLLC

  dba Med Sports Vantage

  • Family Medicine Physician
  • Brighton, MI
  • NPI 1326587114
  NPD (past)

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1184959736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7274 LINDEN RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161513",
            "telephone_number": "810-599-9591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12851 Grand River Rd",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481168506",
            "country_code": "US",
            "telephone_number": "810-227-1211 x49",
            "fax_number": "810-220-5509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLECKER",
        "first_name": "CELINE",
        "middle_name": "MARY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401011729",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne King-Hudson
• Cynthia Jo King
• Disha Kinra, DDS
• Kristin Kinstler, MD, PHD
• Kiara Kirkland
• Melanie Klenk, CNP
• Lisa Marie Klink, R.N.
• Roberta Ann Knittle, PA-C
• June Ko
• Ellen I Koch, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.