Kenzie M Timm

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401017477 Issued in MI

Practice address

850 Stephenson Hwy Ste 210
Troy, MI 48083-1151

Phone

(248) 585-3239

Fax

(248) 585-3239

NPI assigned

Oct 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• River'S Bend, P.C.

  • Addiction (Substance Use Disorder) Counselor
  • Troy, MI
  • NPI 1265520209

  Mental Health

  NPD

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1962045708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 STEPHENSON HWY STE 210",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831151",
            "telephone_number": "248-585-3239",
            "fax_number": "248-616-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 STEPHENSON HWY STE 210",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831151",
            "telephone_number": "248-585-3239",
            "fax_number": "248-585-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMM",
        "first_name": "KENZIE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401017477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Thurmond
• Kristin Anne Thurston, PA
• Aaron James Tice, PA-C
• Patricia Lynn Tieman, PMHNP
• Daniel Alexander Tim, M.D.
• Timothy Williams, DDS, Ms, PLLC
• Timothy J Tinetti, MD
• Tasha Tinglan
• Salvina Tirone
• Paul Andrew Tiseo, MS, LLP

• Mental Health Counselor in Troy, MI
• Providers in Troy, 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 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.