Individual provider Active NPI

Keri Lynn Warren, PHD, DMIN, MA, BS

  • Professional Counselor
  • Ann Arbor, MI
National Provider Identifier
1750880282
Registry record updated Feb 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401014010 Issued in MI
Practice address
1945 Pauline Blvd Ste 10
Ann Arbor, MI 48103-5047
Phone
(734) 709-1460
NPI assigned
Feb 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4101006598 MI
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 6401014010 MI Primary

Addresses

Primary practice location

1945 Pauline Blvd Ste 10
Ann Arbor, MI 48103-5047

Mailing address

PO Box 1151
Ann Arbor, MI 48106-1151
Phone (734) 709-1460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science, Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6401014010MIMDProfessional Counselor
4101006598MIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1518307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518307200000",
    "number": "1750880282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1151",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481061151",
            "telephone_number": "734-709-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 PAULINE BLVD STE 10",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035047",
            "telephone_number": "734-709-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "KERI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD, DMIN, MA, BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-11",
        "last_updated": "2018-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006598",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2018; 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.