Keri L Severt, L.P.C BCBA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401012282 Issued in MI

Practice address

6556 Old Elmwood Rd
Cass City, MI 48726-8917

Phone

(989) 551-5653

Fax

(989) 551-5653

NPI assigned

Jan 21, 2016

Last updated

Dec 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Padoc Inc

  • Community/Behavioral Health Agency
  • Cass City, MI
  • NPI 1235600511

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1568829505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6556 OLD ELMWOOD RD",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487268917",
            "telephone_number": "989-551-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6556 OLD ELMWOOD RD",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487268917",
            "telephone_number": "989-551-5653",
            "fax_number": "989-551-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERT",
        "first_name": "KERI",
        "middle_name": "L",
        "credential": "L.P.C  BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Seaman
• Selad Corporation (Hospital Drive Pharmacy)
• Prabaharan Selvaraj
• Gustavojoseph Servin
• Nicole Severn, BCBA
• Arianna Shaver
• Tiffanie Shaw, BT
• Bethany Ann Shepard
• Kaitlin Helene Sherman, BT
• Eric D Shoemaker, MD

• Professional Counselor in Cass City, MI
• Providers in Cass City, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.