Organization Active NPI

Kelsy Hoerauf PC

  • Marriage & Family Therapist
  • Fenton, MI
National Provider Identifier
1205303369
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KELSY HOERAUF PC
Practice address
4031 Owen Rd
Fenton, MI 48430-9100
Phone
(810) 730-5444
NPI assigned
Oct 26, 2018
Last updated
Oct 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Kelsy D Hoerauf, LMFTNPI 1235430802
Title
President
Phone
(810) 730-5444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

4031 Owen Rd
Fenton, MI 48430-9100

Mailing address

515 Ridgewood
Linden, MI 48451-9164
Phone (810) 730-5444

National Provider Directory

National Provider Directory

Locations

4031 Owen Rd
Fenton, MI 48430
Phone (810) 730-5444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1205303369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 RIDGEWOOD",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484519164",
            "telephone_number": "810-730-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 OWEN RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309100",
            "telephone_number": "810-730-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSY HOERAUF PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "HOERAUF",
        "authorized_official_first_name": "KELSY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-730-5444",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.