Kelly Ahti, LMSW PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KELLY AHTI, LMSW PLLC

Practice address

4519 Cascade Rd SE Ste 2
Grand Rapids, MI 49546-8319

Phone

(616) 724-4705

NPI assigned

May 21, 2019

Organization subpart

No

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

Authorized official

Name

Kelly Ahti, LMSWNPI 1982121190

Title

Mental Health Therapist

Phone

(616) 724-4705

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Ahti

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1982121190
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1992362347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 CASCADE RD SE STE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468319",
            "telephone_number": "616-724-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 CASCADE RD SE STE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468319",
            "telephone_number": "616-724-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY AHTI, LMSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "AHTI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "616-724-4705",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@kellyahtilmsw.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4519 Cascade Rd SE Ste 2",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495468319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Ann-Pastoor Kelley, LLBSW, QIDP
• Regan Kelley, OTR/L
• Serena Leigh Kelley
• Jenny Kellogg, LMSW
• Megan Kellogg
• Adam Layton Kelly, M.D.
• Amy Jo Kelly, NP
• Brea Kelly
• Brendan Neubecker Kelly, LMSW
• Elizabeth Kelly

• Mental Health Clinic/Center (Including Community Mental Health Center) in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.