Kerry Jo Prior, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401010432 Issued in MI

Practice address

4565 Wilson Ave SW
Ste 1a
Grandville, MI 49418-2371

Phone

(616) 551-2139

Fax

(616) 457-5006

NPI assigned

Apr 3, 2009

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

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

Specialty

Mental Health Counselor

Education

Vanderbilt University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Behavioral HealthGroup PAC ID 6406348374, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Synergy Behavioral Health

  • Professional Counselor
  • Grandville, MI
  • NPI 1477439263
  Medicare reassignment Care Compare group NPD
• Grand Rapids Therapy Group Inc

  • Psychologist
  • Grand Rapids, MI
  • NPI 1295211076
  NPD

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1770725848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 WILSON AVE SW",
            "address_2": "STE 1A",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182371",
            "telephone_number": "616-551-2139",
            "fax_number": "616-457-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 WILSON AVE SW",
            "address_2": "STE 1A",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182371",
            "telephone_number": "616-551-2139",
            "fax_number": "616-457-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIOR",
        "first_name": "KERRY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-03",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401010432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Powers, LMSW
• Alec Presley
• Prevos Family Markets LLC
• Kali Mutschler Prillwitz, DDS
• Alexis Katherine Prins, LCSW
• Progressive Physical Therapy PLC
• Psychoanalytical & Research Foundation
• Devon Pucel, DDS
• Dawn Pugh
• Rani Jane Pung, BEHAVIOR TECHNICIAN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.