Active NPI
Integrative Therapy, LLC
- Clinical Social Worker
- Ann Arbor, MI
National Provider Identifier
1639970221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- INTEGRATIVE THERAPY, LLC
- Practice address
- 4750 Venture Dr Ste 400
Ann Arbor, MI 48108-9505 - Phone
- (313) 666-7742
- NPI assigned
- Mar 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Kelley, LMSW, CAADC
- Title
- Licensed Master Social Worker
- Phone
- (313) 666-7742
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4750 Venture Dr Ste 400
Ann Arbor, MI 48108-9505
Mailing address
2135 Hollow Oak Dr
Ann Arbor, MI 48103-8402
Phone (646) 660-3713
National Provider Directory
National Provider DirectoryLocations
202 E Washington St
Ste 602
Ann Arbor, MI 48104
Phone (734) 201-5832
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Ann Arbor, MI
- NPI 1063958395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1639970221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2135 HOLLOW OAK DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481038402",
"telephone_number": "646-660-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 VENTURE DR STE 400",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481089505",
"telephone_number": "313-666-7742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-20",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "KELLEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "LICENSED MASTER SOCIAL WORKER",
"authorized_official_telephone_number": "313-666-7742",
"authorized_official_credential": "LMSW, CAADC"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
- Integrated Self Psychotherapy, LLC
- Integrative Gynecology PLLC
- Integrative Healthcare Providers PLLC
- Integrative Pediatrics, PC
- Integrative Services PLLC
- Integrative Trauma Solutions, LLC
- Integritous Care Solutions
- Internal Medicine Associates of Livingston County,PLLC
- Intuitive Therapy Partners PLLC
- Invictus Mental Health Counseling PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.