Individual provider Active NPI

Kathryn Rose Chanda, MA, LLPC

  • Professional Counselor
  • East Jordan, MI
National Provider Identifier
1992619902
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6451025284 Issued in MI
Practice address
3275 Vance Rd
East Jordan, MI 49727-9234
Phone
(231) 430-1590
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6451025284 MI Primary

Addresses

Primary practice location

3275 Vance Rd
East Jordan, MI 49727-9234

Mailing address

3275 Vance Rd
East Jordan, MI 49727-9234
Phone (231) 430-1590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1992619902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 VANCE RD",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "497279234",
            "telephone_number": "231-430-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 VANCE RD",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "497279234",
            "telephone_number": "231-430-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDA",
        "first_name": "KATHRYN",
        "middle_name": "ROSE",
        "credential": "MA, LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451025284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Jordan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.