Neurofitness Counseling Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NEUROFITNESS COUNSELING SERVICES LLC

Practice address

6360 Jackson Rd Ste a
Ann Arbor, MI 48103-7801

Phone

(734) 277-0580

Fax

(734) 926-9932

NPI assigned

Jun 20, 2019

Organization subpart

No

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

Authorized official

Name

Margaret Kelley, LPCNPI 1316391600

Title

Director

Phone

(734) 277-0580

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret Kelley, LPC

  • Professional Counselor
  • Ann Arbor, MI
  • NPI 1316391600
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1467012435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 JACKSON RD STE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037801",
            "telephone_number": "734-277-0580",
            "fax_number": "734-926-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 JACKSON RD STE A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037801",
            "telephone_number": "734-277-0580",
            "fax_number": "734-926-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROFITNESS COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-277-0580",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316391600",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neuralwatch Tennessee PLLC
• Neuralwatch Texas PLLC
• Neuralwatch West Virginia PLLC
• Neuralwatch Wisconsin LLC
• Neurodiverse Michigan, PLLC
• Neuromed, Inc.
• Neurtheria Counseling, LLC
• Kerri Lynne Neville, MD
• Shannon Neville, MD
• New Beginnings Therapy Services

• Professional Counselor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.