Individual provider Active NPI

Kelly Jo Corbett, LPC

  • Professional Counselor
  • Adrian, MI
National Provider Identifier
1619285681
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401019145 Issued in MI
Practice address
3486 Treat Hwy
Adrian, MI 49221-9763
Phone
(517) 425-0865
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401012128 MI
Professional Counselor 101YP2500X 6401019145 MI Primary

Addresses

Primary practice location

3486 Treat Hwy
Adrian, MI 49221-9763

Mailing address

3498 Treat Hwy
Adrian, MI 49221-9763
Phone (517) 425-0865

Other names 1

  • Kelly Jo Williams Salerno Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428000675 MI Practitioner - Mental Health Counselor 2567988157 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401012128MIMDProfessional Counselor
6401019145MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Center of Michigan, Inc CurrentSince Feb 15, 2025 Accepting new patients
Family Medical Center of Michigan,Inc CurrentSince Feb 15, 2025 Accepting new patients
Family Medical Center of Michigan,Inc Current Accepting new patients
Family Counseling and Children's Services Past Accepting new patients

Locations

1200 N Main St
Adrian, MI 49221
Phone (517) 263-1800

3498 Treat Hwy
Rm 35
Adrian, MI 49221

3498 Treat Hwy
Adrian, MI 49221
Phone (517) 263-0741

1085 N Macomb St
#O
Monroe, MI 48162
Phone (734) 639-2546

8765 Lewis Ave
Temperance, MI 48182

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1619285681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3498 TREAT HWY",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492219763",
            "telephone_number": "517-425-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3486 TREAT HWY",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492219763",
            "telephone_number": "517-425-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "KELLY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012128",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "WILLIAMS SALERNO",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.