Organization Active NPI

Sense of Self

  • Counselor
  • Traverse City, MI
National Provider Identifier
1417706441
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SENSE OF SELF
Practice address
862 E Eighth St Ste G-3
Traverse City, MI 49686-2727
Phone
(231) 642-1962
NPI assigned
May 13, 2024
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Kaylee Patterson, LPCNPI 1053789172
Title
Owner
Phone
(231) 642-1962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

862 E Eighth St Ste G-3
Traverse City, MI 49686-2727

Mailing address

611 Bates St
Traverse City, MI 49686-3308
Phone (231) 642-1962

Other identifiers 1

IdentifierTypeStateIssuer
1053789172MedicaidCO

National Provider Directory

National Provider Directory

Locations

862 E Eighth St
Ste G3
Traverse City, MI 49686
Phone (231) 642-1962

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1417706441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BATES ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863308",
            "telephone_number": "231-642-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 E EIGHTH ST STE G-3",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862727",
            "telephone_number": "231-642-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSE OF SELF",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "KAYLEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-642-1962",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053789172",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.