Kelly Aiello, LPC
Individual provider Active NPI Professional Counselor · Fort Gratiot, MI
NPI 1689016248 · NPPES record last updated Oct 10, 2016
Key facts
- NPI
- 1689016248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401013735 (MI)
- Practice address
- 1501 Krafft Rd
Fort Gratiot, MI 48059-3565 - Phone
- (810) 985-5125
- Fax
- (810) 985-5127
- NPI assigned
- Jul 24, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Blue Water Mental Health Clinic
Practice addresses (Care Compare)
1501 Krafft Rd
Fort Gratiot, MI 48059-3565
Phone (810) 985-5125
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241125001955 | MI | Practitioner - Mental Health Counselor | 8820523095 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NPI 1891833810 | Professional | Current |
Accepting new patients |
| Blue Water Mental Health Clinic | Professional | Current |
Accepting new patients |
Locations
1501 Krafft Rd
Fort Gratiot, MI 48059
Phone (810) 985-5125
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401013735 | MI | Yes |
Addresses
Primary practice location
1501 Krafft Rd
Fort Gratiot, MI 48059-3565
Mailing address
1501 Krafft Rd
Fort Gratiot, MI 48059-3565
Phone (810) 985-5125
Other providers in Fort Gratiot, MI
- Lindsey J Adams
- Advanced Physical Rehabilitation
- Advanced Physical Rehabilitation Karadimas PLLC
- Advanced Physical Rehabilitation Lukas PLLC
- Carley Louise Agostino
- Aiso PLLC
- Butheinah A Al-Sharafi
- Ahmad Alabbas
- Alexandra Alandt
- Korryn Irene Albert
All providers in Fort Gratiot, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.