Individual provider Active NPI

Lori Rachelle Metcalf-Rodes, LLPC

  • Counselor
  • Kingsley, MI
National Provider Identifier
1386168854
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
5081 Walton Road
Kingsley, MI 49649
Phone
(231) 632-3314
NPI assigned
Jul 27, 2017
Last updated
Feb 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MI Primary

Addresses

Primary practice location

5081 Walton Road
Kingsley, MI 49649

Mailing address

5081 Walton Rd
Kingsley, MI 49649-9303
Phone (231) 632-3314

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
I20240228000684 MI Practitioner - Mental Health Counselor 9537504766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hiawatha Community Behavioral Health AuthorityGroup PAC ID 3870509490, 13 clinicians

Practice addresses (Care Compare)

125 N Lake St
Manistique, MI 49854-1234
Phone (906) 341-2144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hiawatha Community Behavioral Health Authority CurrentSince Jan 26, 2024 Accepting new patients

Locations

125 N Lake St
Manistique, MI 49854
Phone (906) 341-2144

3865 S Mackinac Trl
Sault Sainte Marie, MI 49783
Phone (906) 632-2805

Organizations & group practices 1

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": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1386168854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5081 WALTON RD",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499303",
            "telephone_number": "231-632-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5081 WALTON ROAD",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "49649",
            "telephone_number": "231-632-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METCALF-RODES",
        "first_name": "LORI",
        "middle_name": "RACHELLE",
        "name_prefix": "Mrs.",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsley, MI

Sources for this page

Verify at the official NPI Registry.