Ann Kathryn Modzeleski, LPC is a
Counselor - Professional based in Grand Rapids, Michigan. Ann Kathryn Modzeleski is licensed to practice in Michigan (license number 6401011086) and her current practice location is
300 68th St Se, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 258-7467.
NPI number for Ann Kathryn Modzeleski is 1457504847 and her current mailing address is 300 68th St Se, Grand Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457504847.
Healthcare Provider's Profile
Full Name | Ann Kathryn Modzeleski |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 300 68th St Se, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457504847
- Provider Enumeration Date: 10/29/2008
- Last Update Date: 12/12/2023
Medical Identifiers
Medical identifiers for Ann Kathryn Modzeleski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457504847 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 6301014035 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 6401011086 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ann Kathryn Modzeleski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ann Kathryn Modzeleski, LPC 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 | Ann Kathryn Modzeleski, LPC 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 258-7467 |
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