Individual provider Active NPI

Kathryn Joan Gleason, LMFT

  • Marriage & Family Therapist
  • Farmington Hills, MI
National Provider Identifier
1255540373
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101006275 Issued in MI
Practice address
31330 Northwestern Hwy Ste a
Farmington Hills, MI 48334-2560
Phone
(248) 935-2165
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4101006275 MI Primary

Addresses

Primary practice location

31330 Northwestern Hwy Ste a
Farmington Hills, MI 48334-2560

Mailing address

36510 W 12 Mile Rd
Farmington Hills, MI 48331-3169
Phone (248) 935-2165

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
I20231222001532 MI Practitioner - Marriage and Family Therapist 2961852595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

31330 Northwestern Hwy
Suite a
Farmington Hills, MI 48334-2560
Phone (248) 935-2165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4101006275MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Gleason Ma LMFT PLLC Marriage & Family Therapist CurrentSince Nov 7, 2023 Accepting new patients
Elena Brand, PH.D., P.L.L.C. CurrentSince Mar 3, 2024 Accepting new patients

Locations

36510 W 12 Mile Rd
Farmington Hills, MI 48331
Phone (248) 254-3686

31330 Northwestern Hwy
Ste A
Farmington Hills, MI 48334
Phone (248) 553-8220

Organizations & group practices 2

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1255540373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36510 W 12 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313169",
            "telephone_number": "248-935-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31330 NORTHWESTERN HWY STE A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342560",
            "telephone_number": "248-935-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "KATHRYN",
        "middle_name": "JOAN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.