Individual provider Active NPI

Kalle Pasch

  • Mental Health Counselor
  • Southfield, MI
National Provider Identifier
1841941523
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
20411 W 12 Mile Rd Ste 101
Southfield, MI 48076-6404
Phone
(866) 703-1901
NPI assigned
Jan 13, 2022
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

20411 W 12 Mile Rd Ste 101
Southfield, MI 48076-6404

Mailing address

20411 W 12 Mile Rd Ste 101
Southfield, MI 48076-6404
Phone (866) 703-1901

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
I20250422002752 MI Practitioner - Mental Health Counselor 2264957299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Wayne State University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1938 Burdette St
Suite 223
Ferndale, MI 48220-1982
Phone (313) 744-2417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Lainie Epstein PLLC CurrentSince Jan 21, 2022 Accepting new patients
Vibrance Art Therapy CurrentSince Feb 19, 2025 Accepting new patients
Authentic Self Therapeutic Services, LLC Past Accepting new patients

Locations

1938 Burdette St
Ste 223
Ferndale, MI 48220
Phone (248) 206-5919

27733 John R Rd
Madison Hts, MI 48071
Phone (313) 744-2417

20411 W 12 Mile Rd
Ste 101
Southfield, MI 48076
Phone (248) 354-1888

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1841941523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20411 W 12 MILE RD STE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766404",
            "telephone_number": "866-703-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20411 W 12 MILE RD STE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766404",
            "telephone_number": "866-703-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCH",
        "first_name": "KALLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.