Organization Active NPI

Mental Fitness Center

  • Community/Behavioral Health Agency
  • Rochester, MI
National Provider Identifier
1922287135
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MENTAL FITNESS CENTER
Practice address
425 S Main St
Suite 201
Rochester, MI 48307-6729
Phone
(248) 601-3111
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Joelle Kekhoua, MA, LLP, LLPCNPI 1093924862
Title
President
Phone
(248) 601-3111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

425 S Main St
Suite 201
Rochester, MI 48307-6729

Mailing address

425 S Main St
Suite 201
Rochester, MI 48307-6729
Phone (248) 601-3111

National Provider Directory

National Provider Directory

Locations

425 S Main St
Ste 201
Rochester, MI 48307
Phone (248) 601-3111

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1922287135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S MAIN ST",
            "address_2": "SUITE 201",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483076729",
            "telephone_number": "248-601-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S MAIN ST",
            "address_2": "SUITE 201",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483076729",
            "telephone_number": "248-601-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL FITNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "KEKHOUA",
        "authorized_official_first_name": "JOELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-601-3111",
        "authorized_official_credential": "MA, LLP, LLPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.