Kelley Mays, DMIN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4151001083 Issued in MI

Practice address

4204 Buckingham Ave
Detroit, MI 48224-3539

Phone

(248) 571-4806

NPI assigned

Oct 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Impact Life Solutions, LLC

  • Professional Counselor
  • Detroit, MI
  • NPI 1417739624

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1548042757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 BUCKINGHAM AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243539",
            "telephone_number": "248-571-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 BUCKINGHAM AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243539",
            "telephone_number": "248-571-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "KELLEY",
        "name_prefix": "Dr.",
        "credential": "DMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "4151001083",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "4151001083",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4151001083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pooja Mayor, DDS
• D'Air Mays
• Fatima Mays, NP
• Helena Mays
• Jasmine Nicole Mays, NP-C
• Krystal Mays
• Rochelle Denece Mays, LMT
• Tarnisha Mays
• Mayura Madani M.D.P.L.L.C.
• Maria Mazariegos-Gonzalez

• Marriage & Family Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.