Organization Active NPI

Kelly Dietzel, LMFT

  • Marriage & Family Therapist
  • Lansing, MI
National Provider Identifier
1740149806
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KELLY DIETZEL, LMFT
Practice address
801 S Waverly Rd Ste 100
Lansing, MI 48917-4200
Phone
(586) 722-3698
NPI assigned
Jan 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Mrs. Kelly Breanne Dietzel, MSNPI 1679914055
Title
LMFT
Phone
(586) 722-3698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

801 S Waverly Rd Ste 100
Lansing, MI 48917-4200

Mailing address

801 S Waverly Rd Ste 100
Lansing, MI 48917-4200
Phone (586) 722-3698

National Provider Directory

National Provider Directory

Locations

801 S Waverly Rd
Ste 100
Lansing, MI 48917
Phone (517) 886-5511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1740149806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S WAVERLY RD STE 100",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174200",
            "telephone_number": "586-722-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S WAVERLY RD STE 100",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174200",
            "telephone_number": "586-722-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY DIETZEL, LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "DIETZEL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "BREANNE",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "586-722-3698",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.