Kelly Thomas LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801090422 Issued in MI

Legal business name

KELLY THOMAS LLC

Practice address

2193 Association Dr Ste 100
Okemos, MI 48864-4904

Phone

(517) 316-5239

Fax

(517) 349-3755

NPI assigned

Feb 23, 2015

Organization subpart

No

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

Authorized official

Name

Kelly Thomas, LMSWNPI 1740596139

Title

Owner

Phone

(517) 316-5239

Specialties & licenses 1

Addresses

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.

• Kelly Thomas, LMSW

  • Clinical Social Worker
  • Okemos, MI
  • NPI 1740596139
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1487046793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2193 ASSOCIATION DR STE 100",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644904",
            "telephone_number": "517-316-5239",
            "fax_number": "517-349-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2193 ASSOCIATION DR STE 100",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644904",
            "telephone_number": "517-316-5239",
            "fax_number": "517-349-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY THOMAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-316-5239",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micaela Keck
• Amanda Keenan
• Madylin Victoria Keigley
• Thomas Richard James Keller, M.A., BCBA, LBA
• Kelly Skrzypchak LLC
• Ralph Michael Kelly, M.D.
• Hannah Elizabeth Kempl
• Rebeka Kendrick, COTA
• John Kennedy
• Mary Eleanor Kennedy, PTA

• Clinical Social Worker in Okemos, MI
• Providers in Okemos, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.