Kelly Breanne Dietzel, MS, LLMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4704233720 Issued in MI

Practice address

1310 Turner St
Suite a
Lansing, MI 48906-4373

Phone

(586) 722-3698

NPI assigned

Jul 12, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Kelly Dietzel, LMFT

  • Marriage & Family Therapist
  • Lansing, MI
  • NPI 1740149806
  NPD Authorized official

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1679914055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 HARDY AVE",
            "address_2": "APT 9",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236213",
            "telephone_number": "586-722-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 TURNER ST",
            "address_2": "SUITE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489064373",
            "telephone_number": "586-722-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZEL",
        "first_name": "KELLY",
        "middle_name": "BREANNE",
        "credential": "MS, LLMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4704233720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claritza Diaz
• Dana Dicken, LMSW
• Holly Ann Dickinson, LPC
• Mackenzie Dickinson, DO
• John Dickson, DO
• Julie Diffenderffer
• Digestive Care of Lansing PLC
• Digestive Disease Center of Mid-Michigan
• Reyna Yerim Choi Digiovanni
• Sundas Dildar, MD

• Marriage & Family Therapist in Lansing, MI
• Providers in Lansing, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.