Kersten Mary Kimmerly Kiebler, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801086284 Issued in MI

Practice address

221 W Lake Lansing Rd Ste 100
East Lansing, MI 48823-8661

Phone

(517) 712-7687

NPI assigned

Jan 18, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Kersten Mary Kimmerly Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Kmkimmerly Counseling LLC

  • Social Worker
  • East Lansing, MI
  • NPI 1558607325
  NPD
• Gordon Counseling and Case Management PLLC

  • Clinical Social Worker
  • Holt, MI
  • NPI 1528356474
  NPD (past)

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1205167111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010",
            "telephone_number": "517-676-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W LAKE LANSING RD STE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238661",
            "telephone_number": "517-712-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMERLY KIEBLER",
        "first_name": "KERSTEN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-18",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801086284",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERSTEN",
            "last_name": "KIMMERLY",
            "middle_name": "MARY",
            "prefix": "MRS.",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Natalie Grace Kieta
• Giorgiana Angelica Kim, LMSW
• Hye-Ree Kim, RPH
• Surim Kim, DO
• Ginga Estee Kimbro, DC
• Jeffrey Travis King, DPT
• Kevin Kingshott, DNP-FNP
• Kristen Kirchner
• Alton R Kirk, PH.D., CLINICAL PSYC
• Amy L Kirkconnell, RPH

• Clinical Social Worker in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.