Individual provider Active NPI

Kenesha Taylor, LPC

  • Professional Counselor
  • Shelby Township, MI
National Provider Identifier
1720752447
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401225454 Issued in MI
Practice address
13001 23 Mile Rd Ste 103
Shelby Township, MI 48315-2767
Phone
(248) 602-2593
NPI assigned
Aug 5, 2021
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401225454 MI Primary

Addresses

Primary practice location

13001 23 Mile Rd Ste 103
Shelby Township, MI 48315-2767

Mailing address

2250 Butterfield Dr Ste 150
Troy, MI 48084-3478

Other practice location 1

24445 Northwestern Hwy Ste 220
Southfield, MI 48075-2437
Phone (248) 242-5545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903001152 MI Practitioner - Mental Health Counselor 8123529898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

421 Meeker St
Leslie, MI 49251-9494

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401225454MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Aug 25, 2025 Accepting new patients
Downriver Mental Health Clinic PC Professional PastSince Feb 1, 2026 Accepting new patients
Downriver Mental Health Clinic PC Mental Health Past Accepting new patients
Introspective Counseling, LLC Counselor PastSince Apr 25, 2021 Accepting new patients

Locations

13001 23 Mile Rd
Ste 103
Shelby Township, MI 48315
Phone (248) 218-1868

2250 Butterfield Dr
Ste 150
Troy, MI 48084
Phone (248) 963-1916

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1720752447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 BUTTERFIELD DR STE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 23 MILE RD STE 103",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152767",
            "telephone_number": "248-602-2593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24445 Northwestern Hwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480752437",
            "country_code": "US",
            "telephone_number": "248-242-5545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KENESHA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401225454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.