Kelly Scolnick Ingleson, L.P.C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401014200 Issued in MI

Practice address

10035 E Mitchell Rd
Petoskey, MI 49770-8853

Phone

(231) 590-3167

Fax

(231) 242-1659

NPI assigned

Oct 8, 2014

Last updated

Oct 8, 2014By 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 1

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.

• Kaleidoscope Counseling Services PLLC

  • Professional Counselor
  • Petoskey, MI
  • NPI 1427510189
  NPD Authorized official

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1730582453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10035 E MITCHELL RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708853",
            "telephone_number": "231-590-3167",
            "fax_number": "231-242-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10035 E MITCHELL RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708853",
            "telephone_number": "231-590-3167",
            "fax_number": "231-242-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLESON",
        "first_name": "KELLY",
        "middle_name": "SCOLNICK",
        "name_prefix": "Mrs.",
        "credential": "L.P.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hufford Vision & Eye Care, PC
• David R Hunter, DPM
• Indigo Hospital Medicine - Petoskey, PLC
• Infinity Eye Care, Inc
• Catherine Ann Ingalls, DPT
• Integrative Cardiovascular Health & Wellness (4 Seasons Health)
• Integrative Specialty Care of Northern Michigan
• Internal Medicine of Northern Michigan Laboratory
• Internal Medicine of Northern Michigan PLLC
• Irb Medical Equipment LLC (Hart Medical Equipment)

• Professional Counselor in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.