Kathy Kemler, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401012519 Issued in MI

Practice address

1200 N West Ave
Suite 300
Jackson, MI 49202-2179

Phone

(517) 789-1234

Fax

(517) 784-7040

NPI assigned

Jun 5, 2012

Last updated

Jun 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Your Time Behavioral and Mental Health LLCGroup PAC ID 6002272895, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Your Time Behavioral & Mental Health LLC

  • Clinical Social Worker
  • Freeland, MI
  • NPI 1669179545

  Professional

  Medicare reassignment Care Compare group NPD
• Truism Center

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1336706480
  Medicare reassignment NPD

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1184985343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N WEST AVE",
            "address_2": "SUITE 300",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022179",
            "telephone_number": "517-789-1234",
            "fax_number": "517-784-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N WEST AVE",
            "address_2": "SUITE 300",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022179",
            "telephone_number": "517-789-1234",
            "fax_number": "517-784-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMLER",
        "first_name": "KATHY",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwenda J Kelly, L.L.P.C
• Kathryn A Kelly, CRNA
• Lazeric Kelly
• Natalie Ann Kember, LMSW
• Julianna Kemler
• Ben Kemp
• Kendall Macarthur Fridley
• Kendra Seagraves Nutrition, LLC
• Jayde Kennedy-Ball, PSYD, LP
• Kennys Optical Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.