Kelley Ray McChester, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401012091 Issued in MI

Practice address

25507 Ecorse Rd
Taylor, MI 48180-1555

Phone

(313) 292-7640

Fax

(313) 292-9270

NPI assigned

Jan 15, 2013

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• New Image Body and Wellness Clinic, PC

  • Primary Care Clinic/Center
  • Waterford, MI
  • NPI 1679523278
  NPD (past)
• Oakland Health Associate of Waterford Clarkston

  dba Oakland Health Associates of Waterford and Clarkston

  • Psychiatry Physician
  • Waterford, MI
  • NPI 1861980609
  NPD (past)

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1356688055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25507 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801555",
            "telephone_number": "313-292-7640",
            "fax_number": "313-292-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25507 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801555",
            "telephone_number": "313-292-7640",
            "fax_number": "313-292-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCHESTER",
        "first_name": "KELLEY",
        "middle_name": "RAY",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayna Maynarich, LMT
• Alexandre John Mazar, M.D.
• Nadia Mazraani, MD
• Danielle Marie McBride, LMSW
• Inez McCastle
• Madison McClain
• Sonja McClellan
• Deborah Ann McCoy, OTR
• Melissa Ann McCurtis
• Tiffani Danielle McElrath, D.D.S

• Professional Counselor in Taylor, MI
• Providers in Taylor, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.