Kelly Lynn Lindsay, OWNER, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401013363 Issued in MI

Practice address

1031 S Main St
Plymouth, MI 48170-2022

Phone

(734) 658-3050

NPI assigned

Dec 22, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Interpersonal Growth Counseling, PLLC.

  • Professional Counselor
  • Plymouth, MI
  • NPI 1174064968
  NPD Authorized official

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1972048205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702022",
            "telephone_number": "734-359-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702022",
            "telephone_number": "734-658-3050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Plymouth Rd Ste 126",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481704080",
            "country_code": "US",
            "telephone_number": "734-658-3050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSAY",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OWNER, MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401013363",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sha'Ziyah Lilly
• Abby Rose Lim
• Lincare Inc.
• Katrina Linden
• Robert A Lindman
• Nalia Lingenfelter
• Brandi Liptock
• Melody Lira
• Tanya Lis
• Lisa M. Constance

• Professional Counselor in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.