Organization Active NPI

Kathryn Gleason Ma LMFT PLLC

  • Marriage & Family Therapist
  • Farmington Hills, MI
National Provider Identifier
1669245015
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KATHRYN GLEASON MA LMFT PLLC
Practice address
31330 Northwestern Hwy Ste a
Farmington Hills, MI 48334-2560
Phone
(248) 935-2165
Fax
(877) 552-0793
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Kathryn GleasonNPI 1255540373
Title
Managing Employee
Phone
(248) 935-2165

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

31330 Northwestern Hwy Ste a
Farmington Hills, MI 48334-2560

Mailing address

8440 Pine Cove Dr
Commerce Township, MI 48382-4452
Phone (248) 935-2165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231222001459 MI Part B Supplier - Clinic/Group Practice 0143670778 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1669245015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 PINE COVE DR",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824452",
            "telephone_number": "248-935-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31330 NORTHWESTERN HWY STE A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342560",
            "telephone_number": "248-935-2165",
            "fax_number": "877-552-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN GLEASON MA LMFT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "248-935-2165"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.