Kennan M Dewitt

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401008885 Issued in MI

Practice address

2109 Hamilton Rd Ste 202
Okemos, MI 48864-1700

Phone

(517) 420-7362

NPI assigned

Nov 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kennan.dewitt.p1@direct.ichd.nextgenshare.com

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.

• Therapy Resilience, PLLC

  • Professional Counselor
  • Okemos, MI
  • NPI 1528808920
  NPD Authorized official
• Training & Treatment Innovations, Inc.

  • Nursing Care Agency
  • Flint, MI
  • NPI 1982854105
  NPD (past)
• Training and Treatment Innovations Inc

  • Public Health or Welfare Agency
  • Sterling Heights, MI
  • NPI 1295084721
  NPD (past)

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1487808622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 PARK LAKE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233839",
            "telephone_number": "517-420-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 HAMILTON RD STE 202",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641700",
            "telephone_number": "517-420-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "KENNAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-14",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Derouchie
• Will Deruyter
• Chetna Vipul Desai, PT
• Marisa Denise Devries, MD
• Nicole Marie Dewall
• Skylar Christine Dewitt
• Sarah Deyoung, LMSW
• Ana Mayari Diaz, LMSW
• Marissa Dibello
• Robert Henry Digby, M.D.

• Professional Counselor in Okemos, MI
• Providers in Okemos, 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 3, 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.