Individual provider Active NPI

Kate Mable Ferris, MSW LMSW

  • Mental Health Counselor
  • Plymouth, MI
National Provider Identifier
1750433363
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801066703 Issued in MI
Practice address
42199 Ann Arbor Rd E
Plymouth, MI 48170-4370
Phone
(734) 425-0636
Fax
(734) 425-4771
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6801066703 MI
Mental Health Counselor 101YM0800X 6801066703 MI Primary

Addresses

Primary practice location

42199 Ann Arbor Rd E
Plymouth, MI 48170-4370

Mailing address

42199 Ann Arbor Rd E
Plymouth, MI 48170-4370
Phone (734) 584-7153

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
I20080229000570 MI Practitioner - Clinical Social Worker 1254415185 Reassigns benefits to 1 organization
Practice locations: Plymouth, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

42199 Ann Arbor Rd E
Plymouth, MI 48170-4370
Phone (313) 523-8415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801066703MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Julia'S Heart Counseling Services, Inc Mental Health CurrentSince Jan 1, 2016 Accepting new patients

Locations

1098 Ann Arbor Rd W
Plymouth, MI 48170
Phone (313) 212-7244

42199 Ann Arbor Rd E
Plymouth, MI 48170
Phone (313) 523-8415

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1750433363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42199 ANN ARBOR RD E",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704370",
            "telephone_number": "734-584-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42199 ANN ARBOR RD E",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704370",
            "telephone_number": "734-425-0636",
            "fax_number": "734-425-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "KATE",
        "middle_name": "MABLE",
        "name_prefix": "Mrs.",
        "credential": "MSW LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6801066703",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801066703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.