Individual provider Active NPI

Kerry Basinger, LMFT

  • Marriage & Family Therapist
  • Northville, MI
National Provider Identifier
1457713786
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
18600 Northville Rd Ste 400a
Northville, MI 48168-3544
Phone
(734) 234-6688
NPI assigned
Mar 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

18600 Northville Rd Ste 400a
Northville, MI 48168-3544

Mailing address

18600 Northville Rd Ste 400a
Northville, MI 48168-3544
Phone (734) 234-6688

Other identifiers 1

IdentifierTypeStateIssuer
4101006803MedicaidMI

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

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Life PLC Marriage & Family Therapist CurrentSince Jun 23, 2024 Accepting new patients

Locations

18600 Northville Rd
Ste 400A
Northville, MI 48168
Phone (734) 234-6688

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1457713786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 NORTHVILLE RD STE 400A",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683544",
            "telephone_number": "734-234-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 NORTHVILLE RD STE 400A",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683544",
            "telephone_number": "734-234-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASINGER",
        "first_name": "KERRY",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4101006803",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.