KMS Mental Health and Wellness

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KMS MENTAL HEALTH AND WELLNESS

Practice address

1109 W Long Lake Rd
Bloomfield Hills, MI 48302-1967

Phone

(248) 854-8659

NPI assigned

Feb 12, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly M Smith, LPC LLPNPI 1356090328

Title

Clinical Director

Phone

(248) 854-8659

Specialties & licenses 1

Addresses

Other names 1

• Bloomfield Behavioral Health Doing business as

Practitioners 1

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

• Kelly Margaret Smith, LPC LLP

  • Mental Health Counselor
  • Southfield, MI
  • NPI 1356090328
  NPD Authorized official

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

{
    "created_epoch": "1644624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1679228233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55097 FALLBROOKE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480421852",
            "telephone_number": "248-854-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W LONG LAKE RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021967",
            "telephone_number": "248-854-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMS MENTAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-12",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "248-854-8659",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC LLP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomfield Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bloomfield Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Elizabeth Klein, DPT
• Donald Roger Klein, D.O.
• Klockwise, Inc.
• Toria Klungle
• Cassandra Morley Klyman, M.D
• Anne Marie Knapke, NP
• Elizabeth Mary Knisely
• Erica Elyse Knowles, NP
• Walter Knysz III, M.D.
• Lori Marie Kodan, OTRL

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.