Kendra Keranen, MA LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401014048 Issued in MI

Practice address

1200 N West Ave
Jackson, MI 49202-2179

Phone

(517) 789-1200

NPI assigned

Aug 14, 2015

Sex

Female

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson-Hillsdale Community Mental Health BoardGroup PAC ID 6406808062, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Jackson-Hillsdale Community Mental Health Board

  dba Lifeways

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jackson, MI
  • NPI 1063466274
  Medicare reassignment Care Compare group NPD
• Jackson-Hillsdale Community Mental Health Board

  dba Lifeways

  • Psychiatric Residential Treatment Facility
  • Jackson, MI
  • NPI 1891417085
  NPD

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1558737478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N WEST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022179",
            "telephone_number": "517-789-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N WEST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022179",
            "telephone_number": "517-789-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERANEN",
        "first_name": "KENDRA",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Seagraves Nutrition, LLC
• Jayde Kennedy-Ball, PSYD, LP
• Kennys Optical Inc
• Paul Scott Kenyon, M.D.
• Baylee Keppy, LLMSW
• Brittany Kerchen, PA-C
• Courtland Keith Keteyian, MD
• Kevin McCoy, DDS, Ms, P. C.
• Cynthia A Keyes
• Marc S Keys, DPM

• Mental Health Counselor in Jackson, MI
• Providers in Jackson, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.