Active NPI
Kelly Lyn Novak, M.ED.
- Counselor
- Saginaw, MI
National Provider Identifier
1649534017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 229752
- Practice address
- 500 Hancock St
Saginaw, MI 48602-4224 - Phone
- (989) 797-3542
- NPI assigned
- Jun 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 229752 | MI | Primary |
Addresses
Primary practice location
500 Hancock St
Saginaw, MI 48602-4224
Mailing address
1148 S Huron Rd
Kawkawlin, MI 48631-9417
Phone (989) 615-0120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229752 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340928000000",
"number": "1649534017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1148 S HURON RD",
"city": "KAWKAWLIN",
"state": "MI",
"postal_code": "486319417",
"telephone_number": "989-615-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 HANCOCK ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486024224",
"telephone_number": "989-797-3542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "KELLY",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-29",
"last_updated": "2012-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "229752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.