Individual provider Active NPI

Kyle Powell Bokor, LPC

  • Professional Counselor
  • Grand Blanc, MI
National Provider Identifier
1376639500
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401006636 Issued in MI
Practice address
10785 S Saginaw St
Suite a, BLDG. E
Grand Blanc, MI 48439-7003
Phone
(810) 695-0055
Fax
(810) 695-6813
NPI assigned
Oct 5, 2006
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401006636 MI Primary

Addresses

Primary practice location

10785 S Saginaw St
Suite a, BLDG. E
Grand Blanc, MI 48439-7003

Mailing address

10785 S Saginaw St Ste a
Grand Blanc, MI 48439-7003
Phone (810) 695-0055

Other names 1

  • Kyle Powell Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231128000882 MI Practitioner - Mental Health Counselor 4789032004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10785 S Saginaw St
Suite a
Grand Blanc, MI 48439-7003
Phone (248) 322-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401006636MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 1, 2024 Accepting new patients
Oakland Psychological Clinic, P.C. Current Accepting new patients
Oakland Psychological Clinic, P.C. Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 1, 2024 Accepting new patients

Locations

2550 S Telegraph Rd
Ste 250
Bloomfld Hls, MI 48302
Phone (248) 322-0001

14165 N Fenton Rd
Ste 201
Fenton, MI 48430
Phone (248) 322-0001

2222 S Linden Rd
Ste J
Flint, MI 48532
Phone (810) 720-5700

16664 15 Mile Rd
Fraser, MI 48026
Phone (586) 294-3030

10785 S Saginaw St
Ste A
Grand Blanc, MI 48439
Phone (810) 695-0055

33300 5 Mile Rd
Ste 208
Livonia, MI 48154
Phone (734) 522-0280

1800 N Milford Rd
Ste 100
Milford, MI 48381
Phone (248) 684-6400

17352 W 12 Mile Rd
Ste 100
Southfield, MI 48076
Phone (248) 559-0730

Interoperability endpoints

  • Direct secure messaging: kyle.powell.1@28621.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1376639500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10785 S SAGINAW ST STE A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397003",
            "telephone_number": "810-695-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10785 S SAGINAW ST",
            "address_2": "SUITE A, BLDG. E",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397003",
            "telephone_number": "810-695-0055",
            "fax_number": "810-695-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKOR",
        "first_name": "KYLE",
        "middle_name": "POWELL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401006636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLE",
            "last_name": "POWELL",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.