Individual provider Active NPI

Sondra Kern, LPC

  • Mental Health Counselor
  • Bay City, MI
National Provider Identifier
1467802744
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401015467 Issued in MI
Practice address
126 Washington Ave
Bay City, MI 48708-5846
Phone
(989) 684-7977
NPI assigned
Jun 16, 2016
Last updated
Apr 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401015467 MI Primary

Addresses

Primary practice location

126 Washington Ave
Bay City, MI 48708-5846

Mailing address

100 NB Gratiot Ave
Mount Clemens, MI 48043-2301
Phone (586) 783-2950

Other practice location 1

323 N State St
Caro, MI 48723-1537
Phone (989) 673-6191

Other practice location 2

100 Nb Gratiot Ave
Mount Clemens, MI 48043-2301
Phone (586) 783-2950

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

State licenses

LicenseStateTypeSpecialty
6401015467MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Synergy Counseling Center PLLC Current Accepting new patients

Locations

706 Ashman St
Midland, MI 48640
Phone (989) 289-1497

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1467802744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NB GRATIOT AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432301",
            "telephone_number": "586-783-2950",
            "fax_number": "586-690-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 WASHINGTON AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085846",
            "telephone_number": "989-684-7977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 N State St",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487231537",
            "country_code": "US",
            "telephone_number": "989-673-6191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Nb Gratiot Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Clemens",
            "state": "MI",
            "postal_code": "480432301",
            "country_code": "US",
            "telephone_number": "586-783-2950",
            "fax_number": "586-690-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "SONDRA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.