Jeffrey WM Katke Owner Great Northern Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401012426 Issued in MI

Legal business name

JEFFREY WM KATKE OWNER GREAT NORTHERN COUNSELING

Practice address

814 S Otsego Avenue
Suite E
Gaylord, MI 49735-2708

Phone

(248) 318-6360

NPI assigned

Dec 5, 2016

Last updated

Oct 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey William Katke, LPC

Title

Owner

Phone

(989) 930-4610

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffery W Katke, LPC CMHP QIDP CMHP

  • Mental Health Counselor
  • Gaylord, MI
  • NPI 1295021699
  NPD (past)
• Kathy Ann Katke, LPC CMPH QMPH QIDP

  • Mental Health Counselor
  • Gaylord, MI
  • NPI 1841685542
  NPD (past)

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1891239216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S OTSEGO AVENUE",
            "address_2": "SUITE E",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "49735",
            "telephone_number": "248-318-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S OTSEGO AVENUE",
            "address_2": "SUITE E",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497352708",
            "telephone_number": "248-318-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY WM KATKE OWNER GREAT NORTHERN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "KATKE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-930-4610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kathryn A Jeffers, LPN
• Salena Marie Jenkins
• Judy L Jerome, CGNP
• Kendra Lynn Johnson, D.O.
• Patrick Alan Johnson, RD, PA-C
• Ashley Jones

• Mental Health Counselor in Gaylord, MI
• Providers in Gaylord, 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 Oct 9, 2024; 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.