KALEIDOSCOPE COUNSELING SERVICES PLLC (NPI# 1427510189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427510189 |
| Entity Type | Organization |
| Organization Name | KALEIDOSCOPE COUNSELING SERVICES PLLC |
| Practice Address |
424 Petoskey Street Suite C Petoskey MI 49770-2618 |
| Practice Telephone | 2315903167 |
| Practice Fax Number | 2317153787 |
| Mailing Telephone | 2315903167 |
| Mailing Fax Number | 2317153787 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Authorized Official Name | KELLY S INGLESON (OWNER) |
| Authorized Official Telephone | 2315903167 |
| Authorized Official Credential | LPC-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
424 PETOSKEY STREET SUITE C |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1184121485 | Kristen Lynn Herriman | Counselor | 185 Vantage View Dr, Petoskey, MI 49770-9211 | 2018-04-12 |
| 1023546959 | Melissa Sue Merchant | Counselor | 1260 Ajijaak Ave, Petoskey, MI 49770-8330 | 2017-05-23 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1003366162 | Up North Family Counseling, LLC | Counselor | 318 E Mitchell St Ste 11, Petoskey, MI 49770-2616 | 2016-10-12 |
| 1750733069 | Chad Alexander | Counselor | 314 1/2 Howard St Ste 2b, Petoskey, MI 49770-4407 | 2016-07-11 |
| 1265891097 | Melissa A Martin | Counselor | 318 E Mitchell St Ste 7, Petoskey, MI 49770-2616 | 2016-02-22 |
| 1902201544 | Tana J Nathe | Counselor | 915 Waukazoo Ave., Petoskey, MI 49770 | 2014-10-24 |
| 1730582453 | Kelly Scolnick Ingleson | Counselor | 10035 E Mitchell Rd, Petoskey, MI 49770-8853 | 2014-10-08 |
| 1194164921 | Carolyn Jean Belknap | Counselor | 1022 Lindell Ave, Petoskey, MI 49770-3230 | 2013-06-14 |
| Find all providers in PETOSKEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.