Individual provider Active NPI

Kayla Marie Irrer, LMSW, QMHP

  • Clinical Social Worker
  • Bay City, MI
National Provider Identifier
1457781866
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089548 Issued in MI
Practice address
1010 N Madison Ave
Bay City, MI 48708-5926
Phone
(989) 895-2233
Fax
(989) 892-4962
NPI assigned
Nov 21, 2013
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801089548 MI Primary

Addresses

Primary practice location

1010 N Madison Ave
Bay City, MI 48708-5926

Mailing address

1010 N Madison Ave
Bay City, MI 48708-5926
Phone (989) 895-2233

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
I20141107001161 MI Practitioner - Clinical Social Worker 0345462206 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

501 Lapeer Ave
Saginaw, MI 48607-1203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Westlund Guidance Clinic CurrentSince Sep 10, 2014 Accepting new patients
Bay-Arenac Behavioral Health CurrentSince Nov 15, 2014 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Apr 12, 2023 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Apr 12, 2023 Accepting new patients
Westlund Guidance Clinic Clinical CurrentSince Sep 10, 2014 Accepting new patients
Bay Arenac Behavioral Health Past Accepting new patients

Locations

201 Mulholland St
Bay City, MI 48708
Phone (989) 895-2222

3007 N Saginaw Rd
Midland, MI 48640

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

203 S Washington Ave
Ste 310
Saginaw, MI 48607
Phone (989) 245-3092

Organizations & group practices 7

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": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1457781866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N MADISON AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085926",
            "telephone_number": "989-895-2233",
            "fax_number": "989-892-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N MADISON AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085926",
            "telephone_number": "989-895-2233",
            "fax_number": "989-892-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRRER",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-21",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.