Organization Active NPI

Hestia Healing PLLC

  • Clinical Social Worker
  • Adrian, MI
National Provider Identifier
1245869114
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HESTIA HEALING PLLC
Practice address
600 N Broad St
Adrian, MI 49221-2132
Phone
(517) 403-2551
NPI assigned
Apr 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Kellie Berger, LPC
Title
LPC
Phone
(517) 605-3980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

600 N Broad St
Adrian, MI 49221-2132

Mailing address

1325 Michigan Ave
Adrian, MI 49221-2526

Other practice location 1

1325 Michigan Ave
Adrian, MI 49221-2526
Phone (517) 403-2551

Other practice location 2

110 S Madison St
Adrian, MI 49221-2518
Phone (517) 403-2551

Other names 1

  • Counseling with KB Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240620001192 MI Part B Supplier - Clinic/Group Practice 9335682236 Practice locations: Adrian, MI

National Provider Directory

National Provider Directory

Locations

110 S Madison St
Adrian, MI 49221
Phone (517) 264-3969

600 N Broad St
Adrian, MI 49221
Phone (517) 403-1329

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1245869114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 MICHIGAN AVE",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N BROAD ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212132",
            "telephone_number": "517-403-2551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492212526",
            "country_code": "US",
            "telephone_number": "517-403-2551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492212518",
            "country_code": "US",
            "telephone_number": "517-403-2551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HESTIA HEALING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2025-09-02",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "517-605-3980",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling with KB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.