Individual provider Active NPI

Carmel Elaise McKentry, MA/LPC

  • Professional Counselor
  • Muskegon, MI
National Provider Identifier
1225364953
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1225364953 Issued in MI
Practice address
8 W Walton Ave
Muskegon, MI 49440-1360
Phone
(231) 722-7980
Fax
(231) 722-7979
NPI assigned
Oct 31, 2009
Last updated
Nov 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1225364953 MI Primary

Addresses

Primary practice location

8 W Walton Ave
Muskegon, MI 49440-1360

Mailing address

8 W Walton Ave
Muskegon, MI 49440-1360
Phone (231) 722-7980

Other practice location 1

2700 Baker St
Muskegon, MI 49444-2157
Phone (231) 737-1335

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240806003814 MI Practitioner - Mental Health Counselor 4183161219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MuskegonGroup PAC ID 2264325448, 32 clinicians

Practice addresses (Care Compare)

376 E Apple Ave
Muskegon, MI 49442-3466
Phone (231) 724-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1225364953MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Muskegon CurrentSince May 20, 2024 Accepting new patients
County of Muskegon CurrentSince May 20, 2024 Accepting new patients

Locations

376 E Apple Ave
Muskegon, MI 49442
Phone (231) 724-3699

640 Seminole Rd
Norton Shores, MI 49441
Phone (231) 332-3827

Organizations & group practices 3

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": "1256947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1225364953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W WALTON AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494401360",
            "telephone_number": "231-722-7980",
            "fax_number": "231-722-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W WALTON AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494401360",
            "telephone_number": "231-722-7980",
            "fax_number": "231-722-7979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Baker St",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494442157",
            "country_code": "US",
            "telephone_number": "231-737-1335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENTRY",
        "first_name": "CARMEL",
        "middle_name": "ELAISE",
        "credential": "MA/LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-31",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "1225364953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.