KELLI ANDERSON (NPI# 1548739717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548739717 |
Entity Type | Individual |
Full Name | KELLI ANDERSON |
Credential | LLPC |
Practice Address |
1777 Axtell Dr Ste 100 Troy MI 48084-4400 |
Practice Telephone | 2486135377 |
Enumeration Date | 2018-11-17 |
Last Update Date | 2018-11-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 6401016473 | MI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013403245 | Kelli Jean Anderson | Social Worker | 608 Ne 122nd Ave, Vancouver, WA 98684-5826 | 2018-07-11 |
1700239738 | Kelli Ann Anderson | Registered Nurse | 16367 5 Mile Hwy, Onaway, MI 49765-9389 | 2016-07-14 |
1649610395 | Kelli Saage Anderson | Nurse Practitioner | 1146 Ross Clark Cir, Dothan, AL 36301-3022 | 2013-06-26 |
1033643036 | Kelli Anderson | Case Manager/Care Coordinator | 3020 18th St Ste 3, Columbus, NE 68601-4254 | 2017-04-17 |
1891069928 | Kelli Anderson | Counselor | 120 Maple St, Springfield, MA 01103-2203 | 2012-03-07 |
1841574027 | Kelli Anderson | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2011-10-05 |
1508167578 | Kelli Anderson | Case Management | 619 N Main St, Muskogee, OK 74401-4431 | 2010-11-08 |
1740424647 | Kelli Anderson | Nurse Practitioner | 4840 E Indian School Rd, Phoenix, AZ 85018-5500 | 2009-04-23 |
1760682439 | Kelli Anderson | Counselor | 205 S Adair St, Pryor, OK 74361-5201 | 2007-07-20 |
1992857775 | Kelli Christina Anderson | Specialist | 99 Kinderkamack Rd, Suite 112, Westwood, NJ 07675-3012 | 2007-01-18 |
Street Address |
1777 AXTELL DR STE 100 |
City | TROY |
State | MI |
Zip Code | 48084-4400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992971493 | Somerset Therapy Center | Chiropractor | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2008-05-05 |
1740881044 | Angelia Evangelista | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-11-03 |
1861092280 | Paige Moore | Social Worker | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-26 |
1518566975 | Casey Lynn Webb | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-18 |
1619576006 | Evelyn Stilwell | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-18 |
1699374058 | Stefanie Kloiber | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-17 |
1447859871 | Heather Weise | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-10-16 |
1588270904 | Rita Colleen Burd | Counselor | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-09-21 |
1790390458 | Takween Dwaik | Counselor | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-09-10 |
1265044556 | Mark Peyton Blanchard | Psychologist | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-08-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
Find all providers in zip 48084 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336746601 | Cathleen Burks | Counselor | 384 Rockport Dr, Troy, MO 63379 | 2020-10-08 |
1821611336 | Lakeisha E Goshea | Counselor | 215 Falcon Dr, Troy, AL 36079-5916 | 2020-05-19 |
1760019020 | Ryan Taylor | Counselor | 305 Public Sq Ste 2, Troy, OH 45373-3894 | 2020-03-26 |
1912534843 | Barbara A Maynard | Counselor | 1503 Massachusetts Ave, Troy, NY 12180-1718 | 2020-03-23 |
1144868316 | Erin Joy Mercer | Counselor | 3101 Caswell Dr, Troy, MI 48084-1275 | 2019-12-18 |
1063059707 | You Matter Therapy Services Pplc | Counselor | 2888 E. Long Lake Suite 130, Troy, MI 48085-3793 | 2019-12-02 |
1336790617 | Kari Elizabeth Regehr | Counselor | 317 Ray Ave, Troy, AL 36081-3828 | 2019-09-27 |
1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
1528566189 | Janet Langtry | Counselor | 5153 Hale Dr, Troy, MI 48085-3401 | 2018-01-30 |
1306361423 | Amber Throgmorton | Counselor | 117 Absolut Ln, Troy, MO 63379-5748 | 2017-08-09 |
Find all providers in TROY |
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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.