Individual provider Active NPI

Kelsey Tajer, LLMSW

  • Social Worker
  • Ann Arbor, MI
National Provider Identifier
1205289758
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801099713 Issued in MI
Practice address
2890 Carpenter Rd
Suite 800
Ann Arbor, MI 48108-1100
Phone
(734) 259-4063
NPI assigned
Jul 20, 2016
Last updated
Jul 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801099713 MI Primary

Addresses

Primary practice location

2890 Carpenter Rd
Suite 800
Ann Arbor, MI 48108-1100

Mailing address

5498 Hidden Pines Dr
Brighton, MI 48116-7765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801099713MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pyramid Counseling & Consultation LLC PastSince Mar 22, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1205289758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5498 HIDDEN PINES DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481167765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 CARPENTER RD",
            "address_2": "SUITE 800",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081100",
            "telephone_number": "734-259-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJER",
        "first_name": "KELSEY",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801099713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.