MR. JAMES FREDRIC KELLY (NPI# 1689731960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689731960 |
| Entity Type | Individual |
| Full Name | MR. JAMES FREDRIC KELLY |
| Credential | LPC |
| Practice Address |
707 W Milwaukee St 7th Floor Detroit MI 48202-2943 |
| Practice Telephone | 3133449099 |
| Mailing Telephone | 3133449099 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2016-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401006271 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221949 | James Edward Kelly Jr. | Occupational Therapist | 45 Montcalm St, Ticonderoga, NY 12883-1343 | 2020-09-25 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1902328032 | James Kelly | Physician Assistant | 8200 Henry Ave Ste G1, Philadelphia, PA 19128-2953 | 2017-07-11 |
| 1245782408 | James Kelly | Psychologist | 170 Pearl St Se, Atlanta, GA 30316-1247 | 2016-11-03 |
| 1104215300 | James Kelly | Physical Therapist | 8937 Woodman Way, Sacramento, CA 95826-2140 | 2015-01-12 |
| 1447543087 | James Anthony Kelly | Family Medicine | 517 North Center St, Sabinal, TX 78881 | 2011-05-16 |
| 1184879983 | James Aaron Kelly | Dentist | 10833 Le Conte Avenue Room A0-156b Chs, Uc Regents Maxillofacial Prosthodontics, Los Angeles, CA 90095-1668 | 2008-11-20 |
| 1598930711 | James Christopher Kelly | Anesthesiology | 222 N 5th St Ste 202, Martins Ferry, OH 43935-1582 | 2008-04-29 |
| 1952592735 | James Gerard Kelly | Licensed Practical Nurse | 120 Loperwood Ln, Lagrange, OH 44050-9756 | 2007-08-06 |
| 1568669653 | James Edward Kelly | Psychiatry & Neurology | 29466-5 Pintail Drive, Easton, MD 21601 | 2007-07-02 |
| Street Address |
707 W MILWAUKEE ST 7TH FLOOR |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437696 | Margaret Vocos | Student in an Organized Health Care Education/Training Program | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-11-03 |
| 1861092413 | Katie Marie Beasley | Social Worker | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-10-31 |
| 1538769377 | Maya Arsneault | Social Worker | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-10-30 |
| 1225638141 | Emily Marie Swisher | Social Worker | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-10-29 |
| 1598365454 | Erika Campbell | Social Worker | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-10-29 |
| 1326648221 | David George Emmenecker | Counselor | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-10-29 |
| 1891395711 | Mi-shael Taylor | Social Worker | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-10-29 |
| 1477152205 | Kendra Lynn Nash | Student in an Organized Health Care Education/Training Program | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-10-22 |
| 1699374017 | Riley Michelle Lowe | Student in an Organized Health Care Education/Training Program | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-10-19 |
| 1982210365 | Ben Lemanski | Student in an Organized Health Care Education/Training Program | 707 W Milwaukee St, Detroit, MI 48202-2943 | 2020-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244731 | Better Days Counseling, Pllc | Counselor | 13501 Schaefer Hwy, Detroit, MI 48227-3538 | 2020-08-08 |
| 1174144281 | Jasmine Noble | Counselor | 1535 Franklin St Apt 201, Detroit, MI 48207-4056 | 2020-04-29 |
| 1306473145 | Julie Weatherhead | Counselor | 1624 Estates Dr, Detroit, MI 48206-2814 | 2020-03-23 |
| 1972134591 | Tanya Bankston | Counselor | 4221 Moran St, Detroit, MI 48207-1705 | 2020-02-01 |
| 1871124768 | Andrew Todd Henderson | Counselor | 1 Detroit Metro Airport, Detroit, MI 48242-1004 | 2020-01-29 |
| 1922561059 | Odis Bellinger | Counselor | 440 Burroughs St Ste 149, Detroit, MI 48202-3429 | 2019-04-06 |
| 1245799469 | Zipporah K Bolar Sr. | Counselor | 2900 Conner St Bldg A, Detroit, MI 48215-2407 | 2019-03-18 |
| 1215493549 | Sammie Edwards | Counselor | 15734 Sussex St, Detroit, MI 48227 | 2019-02-12 |
| 1942764329 | Crystal Jean Oliver | Counselor | 13770 Mecca St., Detroit, MI 48227-3025 | 2019-01-30 |
| 1922577246 | Sheila Marie Cheeks | Counselor | 1600 Pingree St, Detroit, MI 48206-2436 | 2018-11-15 |
| Find all providers in DETROIT | ||||
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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.