Karin Lynn Palombella, MA LPC NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401007819 Issued in MI

Practice address

13001 23 Mile Rd Ste 103
Shelby Township, MI 48315-2767

Phone

(800) 693-1916

NPI assigned

Nov 9, 2006

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

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1356411722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18021 28 MILE RD",
            "city": "RAY",
            "state": "MI",
            "postal_code": "480962942",
            "telephone_number": "586-531-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 23 MILE RD STE 103",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152767",
            "telephone_number": "800-693-1916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18021 28 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Ray",
            "state": "MI",
            "postal_code": "480962942",
            "country_code": "US",
            "telephone_number": "586-531-8668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALOMBELLA",
        "first_name": "KARIN",
        "middle_name": "LYNN",
        "credential": "MA LPC NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007819",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401007819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neelam Osto
• Taryn Nicole Ostrom, NP-C
• Joyce Marie Pacler, NCTMB
• Janet Palazzolo
• Nicole Palmer, D.C.
• Carrissa Nicole Papajesk
• Lisa Papiez, MA, LPC
• Samantha Parison
• Seth B Parker, M.D.
• Julie Leffler Parks, DDS

• Counselor in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.