Active NPI
Kelly Jo Pavel, MA, LLPC
- Professional Counselor
- Brown City, MI
National Provider Identifier
1689703357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- L916733
- Practice address
- 6949 Cade Rd
Brown City, MI 48416-9165 - Phone
- (810) 346-2271
- NPI assigned
- Mar 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | L916733 | MI | Primary |
Addresses
Primary practice location
6949 Cade Rd
Brown City, MI 48416-9165
Mailing address
6949 Cade Rd
Brown City, MI 48416-9165
Phone (810) 346-2271
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L916733 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689703357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6949 CADE RD",
"city": "BROWN CITY",
"state": "MI",
"postal_code": "484169165",
"telephone_number": "810-346-2271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6949 CADE RD",
"city": "BROWN CITY",
"state": "MI",
"postal_code": "484169165",
"telephone_number": "810-346-2271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVEL",
"first_name": "KELLY",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "MA, LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "L916733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brown City, MI
- McLaren Central Michigan (McLaren Lapeer Regional Family Medicine)
- Ashley Metzger, M.A., CCC-SLP
- Daniel James O'Connor, D.D.S.
- Stacy Lynn Oliver, FNP
- Kayla Parr
- Professional Rehab Services Inc. (Thibodeau Physical Therapy)
- Robert T Brengel DO & Olan C Dombroske DO, PTRS
- Kimberly L Verellen, PA-C
- Taylor A Wood
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.