Healthcare Provider Details

I. General information

NPI: 1336098599
Provider Name (Legal Business Name): KERRY PHIPPS COUNSELING LPC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7179 LAKESHORE RD
LEXINGTON MI
48450-8938
US

IV. Provider business mailing address

PO BOX 296
LEXINGTON MI
48450-0296
US

V. Phone/Fax

Practice location:
  • Phone: 810-941-1702
  • Fax: 810-281-2855
Mailing address:
  • Phone: 810-941-1702
  • Fax: 810-281-2855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KERRY COLLEEN PHIPPS
Title or Position: OWNER
Credential: LCMHC
Phone: 810-941-1702