ANN KATHRYN MODZELESKI LPC NPI 1457504847

NPI Information

NPI: 1457504847
Provider Name: ANN KATHRYN MODZELESKI, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548
Phone: (616) 258-7467
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Ann Kathryn Modzeleski, LPC is a professional counselor in Grand Rapids, MI. Ann Kathryn Modzeleski, LPC NPI is 1457504847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548-927
Phone: (616) 258-7467

The NPI 1457504847 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/29/2008 and was last updated on 12/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		6301014035	MICHIGAN	No
2	101YP2500X	Counselor	Professional	6401011086	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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