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Kelley Ann Watson, MA LLPC

Counselor, Professional in Troy, MI. Individual provider (NPI-1).

NPI number1184863920
StatusActive
Last updated in NPPESFeb 18, 2009

Details

NPI
1184863920
Entity type
Individual (NPI-1)
Name
Mrs. Kelley Ann Watson
Credential
MA LLPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 18, 2009
Last updated
Feb 18, 2009

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
Can order and refer
Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional6401010926MIYes

Practice location

2075 W Big Beaver Rd
Suite 520
Troy, MI 48084-3407

Phone 248-646-6659

Mailing address

2075 W Big Beaver Rd
Suite 520
Troy, MI 48084-3407

Phone 248-646-6659

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