Jeffery W Katke, LPC CMHP QIDP CMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401012426 Issued in MI

Practice address

814 S Otsego Ave
Gaylord, MI 49735-2708

Phone

(248) 318-6360

Fax

(231) 941-8981

NPI assigned

Jun 23, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jeffrey WM Katke Owner Great Northern Counseling

  • Mental Health Counselor
  • Gaylord, MI
  • NPI 1891239216
  NPD (past)

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1295021699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S OTSEGO AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497352708",
            "telephone_number": "248-318-6360",
            "fax_number": "231-941-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S OTSEGO AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497352708",
            "telephone_number": "248-318-6360",
            "fax_number": "231-941-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATKE",
        "first_name": "JEFFERY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "LPC CMHP QIDP CMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Visser-Robel OD PC
• James David Karr Jr., BEHAVIOR TECHNICIAN
• Richard Thomas Kasbow, PA-C
• Valerie Kassuba
• Kathryn Holmes Counseling
• Kathy Ann Katke, LPC CMPH QMPH QIDP
• Steve Vincent Kaufmann, D.O.
• Adrienne Margaret Kelly, MD
• Annamarie Kemper, RN
• Amanda Kennard

• Mental Health Counselor in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.