Individual provider Active NPI

Kelly Ann McGinity Jagers, LMSW LMFT

  • Social Worker
  • Novi, MI
National Provider Identifier
1245360924
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW 6801035225 Issued in MI
Practice address
1785 Paramount
Novi, MI 48377
Phone
(248) 477-5200
Fax
(248) 960-2271
NPI assigned
Mar 6, 2007
Last updated
Jan 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW 6801035225 MI Primary
Marriage & Family Therapist 106H00000X LMFT 4101005546 MI

Addresses

Primary practice location

1785 Paramount
Novi, MI 48377

Mailing address

1785 Paramount
Novi, MI 48377
Phone (248) 477-5200

Other identifiers 3

IdentifierTypeStateIssuer
109507000OtherMAGELLAN
171340OtherVALUE OPTIONS
098818OtherMANAGED HEALTH NETWORK

Other names 1

  • Kelly M Jagers Professional name

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
I20050311000856 MI Practitioner - Clinical Social Worker 3274587258 Practice locations: Canton, MI; Farmington, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20793 Farmington Rd
Farmington, MI 48336-5182
Phone (248) 477-5200

42180 Ford Rd
Suite 305
Canton, MI 48187-3677
Phone (734) 981-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW 6801035225MIMDSocial Worker
LMFT 4101005546MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Krista Freece PHD PLLC Past 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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1245360924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 PARAMOUNT",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-477-5200",
            "fax_number": "248-960-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 PARAMOUNT",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-477-5200",
            "fax_number": "248-960-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGERS",
        "first_name": "KELLY",
        "middle_name": "ANN MCGINITY",
        "credential": "LMSW LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "LMSW 6801035225",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "LMFT 4101005546",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "109507000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "171340",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "098818",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "JAGERS",
            "middle_name": "M",
            "credential": "MSW ACSW LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.