Kenneth Ryan Mize, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801108121 Issued in MI

Practice address

3600 N Saginaw Rd
Midland, MI 48640-2301

Phone

(989) 510-7626

NPI assigned

Oct 7, 2020

Last updated

Oct 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinton County Medical Center Psychological Services PLLC

  • Mental Health Counselor
  • Saint Johns, MI
  • NPI 1871931055
  Medicare reassignment NPD
• Family & Childrens Services Mid-Michigan FCSM

  • Mental Health Counselor
  • Midland, MI
  • NPI 1144275660
  Medicare reassignment NPD
• Clinton County Medical Center Psychological Services PLLC

  • Family Medicine Physician
  • Saint Johns, MI
  • NPI 1538973144
  NPD

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1801493317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402301",
            "telephone_number": "989-510-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402301",
            "telephone_number": "989-510-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "KENNETH",
        "middle_name": "RYAN",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Mischley, PH.D.
• Alyssa Misiak, PT, DPT
• Kindra Ann Mitchell
• Samantha Mitchell
• Hannah Nicole Mithoefer, PT, DPT
• Cammie Mockridge
• Karina Jean Moe
• Melissa Sue Moe, BSW, MSW
• Amy Katherine Moffett
• Kayla Mogg, LLC

• Clinical Social Worker in Midland, MI
• Providers in Midland, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.