Elizabeth J Killough, LLPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6401008526 Issued in MI

Practice address

515 Adams St
Bay City, MI 48708-5830

Phone

(989) 894-2991

Fax

(989) 895-7669

NPI assigned

Oct 9, 2008

Last updated

Oct 9, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sacred Heart Rehabilitation Center, Inc

  • Community/Behavioral Health Agency
  • Flint, MI
  • NPI 1104959493
  NPD (past)
• Sacred Heart Rehabilitation Center, Inc.

  • Community/Behavioral Health Agency
  • Bay City, MI
  • NPI 1235262387
  NPD (past)

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1720239650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 KARLA CT",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486429241",
            "telephone_number": "989-631-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ADAMS ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085830",
            "telephone_number": "989-894-2991",
            "fax_number": "989-895-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLOUGH",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401008526",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401008526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Kerr, LLMSW
• Latasia Ann Keyes
• Khizar Scheeraz Khan, MD
• Aria Kieft, MD
• Beth Killey
• Kristen Nichole Kimball, MT-BC
• Abby Linn King, DDS
• Blake Lawrence King
• Gabrielle Quanea King
• Jessica King, PTA

• Addiction (Substance Use Disorder) Counselor in Bay City, MI
• Providers in Bay City, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.