Individual provider Active NPI

Kimberly Gorecki, LPC

  • Mental Health Counselor
  • Whitmore Lake, MI
National Provider Identifier
1225819832
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401008431 Issued in MI
Practice address
10335 Cedarcrest Rd
Whitmore Lake, MI 48189-9396
Phone
(810) 207-5725
NPI assigned
Oct 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401008431 MI Primary

Addresses

Primary practice location

10335 Cedarcrest Rd
Whitmore Lake, MI 48189-9396

Mailing address

10335 Cedarcrest Rd
Whitmore Lake, MI 48189-9396
Phone (810) 207-5725

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
I20240205003917 MI Practitioner - Mental Health Counselor 7810330065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Point of Hope Counseling Services PCGroup PAC ID 7012333545, 7 clinicians

Practice addresses (Care Compare)

10335 Cedarcrest Rd
Whitmore Lake, MI 48189-9396
Phone (810) 207-5725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401008431MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Point of Hope Counseling Services PC CurrentSince Jan 1, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1225819832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10335 CEDARCREST RD",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899396",
            "telephone_number": "810-207-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10335 CEDARCREST RD",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899396",
            "telephone_number": "810-207-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORECKI",
        "first_name": "KIMBERLY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401008431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitmore Lake, MI

Sources for this page

Verify at the official NPI Registry.