Active NPI
Karli Iceman
- Mental Health Counselor
- Rochester Hills, MI
National Provider Identifier
1366088239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401017146
- Practice address
- 245 Barclay Cir Ste 400
Rochester Hills, MI 48307-5812 - Phone
- (313) 626-0938
- NPI assigned
- Nov 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401017146 | MI | Primary |
Addresses
Primary practice location
245 Barclay Cir Ste 400
Rochester Hills, MI 48307-5812
Mailing address
45925 Spring LN Apt 103
Shelby Township, MI 48317-4857
Phone (248) 860-1908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401017146 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1366088239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45925 SPRING LN APT 103",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483174857",
"telephone_number": "248-860-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 BARCLAY CIR STE 400",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075812",
"telephone_number": "313-626-0938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ICEMAN",
"first_name": "KARLI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-26",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401017146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.