Amanda Jean Kearns, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

685114854 Issued in MI

Practice address

5292 Voice Rd
Kingsley, MI 49649-9607

Phone

(231) 715-1568

NPI assigned

May 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jupiter Healing

  • Mental Health Counselor
  • Traverse City, MI
  • NPI 1982597878
  NPD Authorized official

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1881330447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5292 VOICE RD",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499607",
            "telephone_number": "231-715-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5292 VOICE RD",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499607",
            "telephone_number": "231-715-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6801120053",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "685114854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akearns@jupiterhealing.com",
            "affiliation": "N",
            "endpointDescription": "hippa secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5292 Voice Rd",
            "city": "Kingsley",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496499607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akearns@bainbridgectr.com",
            "affiliation": "N",
            "address_1": "Wendy Dittrich Croll, MA, LPC, LLC",
            "address_2": "28475 Greenfield Rd., Ste. 113, #7048",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alicia Marie Gregg
• James William Hall, D.D.S.
• Eleonora Harness, RN
• Olivia Heldt, CTRS
• Hillcrest Afc
• Connie Paulette King
• Kingsley Area Emergency Ambulance Service Incorporated
• Kingsley Pharmaceuticals Inc.
• Kingsley Pharmacy and Compounding Center
• Kingsley Pharmacy and Compounding Center Inc

• Mental Health Counselor in Kingsley, MI
• Providers in Kingsley, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.