Kelly Heikkuri, LBSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802086997 Issued in MI

Practice address

400 Johnson St
Alpena, MI 49707-1434

Phone

(989) 356-2161

NPI assigned

Jun 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Ann Hundley Former name

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.

• Northeast Michigan Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Alpena, MI
  • NPI 1144378381
  NPD
• Northeast Michigan Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Alpena, MI
  • NPI 1508180662
  NPD (past)

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1912293143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 JOHNSON ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071434",
            "telephone_number": "989-356-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 JOHNSON ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071434",
            "telephone_number": "989-356-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIKKURI",
        "first_name": "KELLY",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802086997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "HUNDLEY",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Hasse, MSW
• Brandon Hauff, DPT
• Brandi L Hawley, LPN
• Healthwise Medical Clinic PLLC
• Ned Victor Heath
• Teresa Henning
• Theresa Henry, BACHLELOR
• Chelsea Herbek, LBSW
• Andrea Hering
• Nicole Marie Herman, MA LLPC

• Social Worker in Alpena, MI
• Providers in Alpena, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.