Kathryn Rose Chanda, MA, LLPC
Counselor, Professional in East Jordan, MI. Individual provider (NPI-1).
NPI number1992619902
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1992619902
- Entity type
- Individual (NPI-1)
- Name
- Kathryn Rose Chanda
- Credential
- MA, LLPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2026
- Certification date
- Sep 29, 2026
- Last updated
- Sep 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6451025284 | MI | Yes |
Practice location
3275 Vance RdEast Jordan, MI 49727-9234
Phone 231-430-1590
Mailing address
3275 Vance RdEast Jordan, MI 49727-9234
Phone 231-430-1590
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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