Margaret Kelley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401015337 Issued in MI

Practice address

6360 Jackson Rd Ste a
Ann Arbor, MI 48103-7801

Phone

(734) 277-0580

Fax

(734) 926-9932

NPI assigned

Apr 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Peg Kelley Professional name

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Neurofitness Counseling Services LLC

  • Professional Counselor
  • Ann Arbor, MI
  • NPI 1467012435
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1316391600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 JACKSON RD STE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037801",
            "telephone_number": "734-277-0580",
            "fax_number": "734-926-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 JACKSON RD STE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037801",
            "telephone_number": "734-277-0580",
            "fax_number": "734-926-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MARGARET",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015337",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEG",
            "last_name": "KELLEY",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Emma Kelley
• Hailey Kelley
• Jennifer Lee Kelley, CNS
• Jennifer Lynn Kelley, RN CNM
• Mackenzie Kelley
• Michael E Kelley, PHD
• Pamela Jean Kelley, NP
• Scott Andrew Kelley, MD
• Velea Renee Kelley, LCSW-C
• Olesia Kellezi, MD

• Professional Counselor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.