Kelli A Kippe, MA, LPC, CAADC, CCS
Individual provider Active NPI Counselor · Bellaire, MI
NPI 1760776249 · NPPES record last updated Mar 24, 2022
Key facts
- NPI
- 1760776249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 6401012482 (MI)
- Practice address
- 205 E Cayuga St
Bellaire, MI 49615-9180 - Phone
- (231) 622-2122
- NPI assigned
- Jun 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401012482 | MI | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401012482 | MI | Yes |
Addresses
Primary practice location
205 E Cayuga St
Bellaire, MI 49615-9180
Mailing address
1282 S M 66 Hwy
Mancelona, MI 49659-8778
Phone (231) 622-2122
Other practice location 1
440 W Main St
Suite B
Gaylord, MI 49735-1885
Phone (231) 622-2122
Other practice location 2
2810 Charlevoix Ave
Petoskey, MI 49770
Phone (231) 622-2122
Other providers in Bellaire, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.