Individual provider Active NPI

Kelley Michel Raab-Butler, LMSW

  • Clinical Social Worker
  • Mount Pleasant, MI
National Provider Identifier
1649360769
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087904 Issued in MI
Practice address
207 N Franklin St
Mount Pleasant, MI 48858-2303
Phone
(989) 824-2374
Fax
(989) 546-8550
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801087904 MI Primary

Addresses

Primary practice location

207 N Franklin St
Mount Pleasant, MI 48858-2303

Mailing address

207 N Franklin St
Mount Pleasant, MI 48858-2303
Phone (231) 580-9585

Other identifiers 2

IdentifierTypeStateIssuer
842671510MedicaidMI
14229139OtherMICAQH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080912000283 MI Practitioner - Clinical Social Worker 1254407448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 N Franklin St
Mount Pleasant, MI 48858-2303
Phone (989) 824-2374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801087904MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health for Central Michigan Clinical CurrentSince Aug 1, 2008 Accepting new patients
New Mind Counseling Services, LLC Clinical CurrentSince Sep 1, 2019 Accepting new patients
Community Mental Health for Central Michigan Clinical PastSince Nov 24, 2019 Accepting new patients

Locations

655 E Cedar Ave
Gladwin, MI 48624
Phone (989) 426-9295

301 S Crapo St
Ste 1
Mount Pleasant, MI 48858

301 S Crapo St
Ste 200
Mt Pleasant, MI 48858
Phone (989) 772-5938

301 S Crapo St
Ste 100
Mt Pleasant, MI 48858
Phone (989) 772-5938

207 N Franklin St
Mt Pleasant, MI 48858
Phone (989) 824-2374

Organizations & group practices 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1649360769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N FRANKLIN ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582303",
            "telephone_number": "231-580-9585",
            "fax_number": "989-546-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N FRANKLIN ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582303",
            "telephone_number": "989-824-2374",
            "fax_number": "989-546-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAAB-BUTLER",
        "first_name": "KELLEY",
        "middle_name": "MICHEL",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "842671510",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14229139",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

Verify at the official NPI Registry.