MRS. CAROL ANN KENISON MA, LLP, LPC
NPI 1275869653
Counselor - Mental Health in Lake City, MI
About Mrs. Carol Ann Kenison Ma, Llp, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CAROL ANN KENISON MA, LLP, LPC (NPI 1275869653) is an individual mental health provider in Lake City, Michigan, licensed in Michigan (6401008847) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Livonia, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Carol Ann Kenison Ma, Llp, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carol Kenison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake City, MI 49651
- Reassigned Medicare billing, Michigan enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carol Kenison's NPI number?
The NPI number for Carol Kenison is 1275869653. It was assigned to this individual provider in the NPPES registry on October 20, 2009.
Where is Carol Kenison located?
Carol Kenison practices at 130 N Main St, Lake City, MI 49651. The listed phone number is (231) 295-1196.
What is Carol Kenison's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Carol Kenison enrolled in Medicare?
Yes. Carol Kenison is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carol Kenison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Kenison reassigns Medicare benefits to Grounded Therapy Network LLC (Lake City, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carol Kenison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Kenison accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Carol Kenison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carol Kenison was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Carol Ann Kenison, MA, LLP, LPC · NPI 1275869653
Mental Health provider in Lake City, Michigan. Individual provider, active in the CMS NPPES registry since October 20, 2009.
## Identity
- **NPI:** 1275869653 (Entity type: Individual)
- **Enumerated:** October 20, 2009
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6401008847 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 130 N MAIN ST, Lake City, MI 49651-5103
- **Phone:** (231) 295-1196
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grounded Therapy Network LLC (NPI 1629852462, Lake City, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** June 24, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1275869653) · Data from the CMS NPPES public registry.