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Kendra Docker , LPC

Counselor β€’ Owosso, MI

Active NPI 1699316976 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1953 Ketegawn Rd
Owosso, MI 488671529

Call 7202208106 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1953 Ketegawn Rd

Owosso, MI 488671529

Telephone 7202208106
Organization at the Same NPPES Address or Phone
Soul Garden Counseling Llc Facility NPI 1073228805

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2010

Years since graduation

16 years (graduated 2010)

CMS Doctors and Clinicians data list 2010 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kendra Docker has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kendra Docker as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Owosso and Michigan

8 active clinicians are listed under Counselor with a practice address in Owosso, MI (2,519 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-11
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES MI 6401017302

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240222003213

Enrollment State Jurisdiction

MI

PECOS Control ID

1557705076

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 11, 2024

Registered at 1953 KETEGAWN RD, OWOSSO, MI 488671529 (Tel: 7202208106)

πŸ“
Updated Business Mailing Address January 11, 2024

Registered at 1953 KETEGAWN RD, OWOSSO, MI 488671529

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2024

Counselor (license number reported to NPPES: MI 6401017302)

βœ…
NPI Profile Active October 08, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 08, 2019

Registered at 1555 INDUSTRIAL DR, OWOSSO, MI 488679775 (Tel: 9897236791)

πŸ“
Business Mailing Address (Initial Record) October 08, 2019

Registered at 1555 INDUSTRIAL DR, OWOSSO, MI 488679775

πŸ‘€
Provider Name / Credentials (Initial Record) October 08, 2019

Recorded as KENDRA DOCKER, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2019

Counselor

🟒
Initial NPI Registration & Enumeration October 08, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699316976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2019
Last Update: January 11, 2024
Sole Proprietor: Yes

Mailing Address

1953 Ketegawn Rd

Owosso, MI 488671529

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.