KEYLA MITCHELL – Professional Counselor, NPI 1295347128

KEYLA MITCHELL is a healthcare provider. based in Ionia, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 6401018546 (MI). The NPI Number for KEYLA MITCHELL is 1295347128

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KEYLA MITCHELL
NPI
1295347128
Phone
Not provided
Address
375 APPLE TREE DR
Enumeration Date
21 August 2020
Last Update Date
1 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
61652717901142
Graduation Year
2020 (6 years ago)
PAC ID
9830533942
Group Practice PAC ID
4880598325
Professional Enrollment ID
I20240216001776
Address ID
MI488467506IO375XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:5State licenses:2Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for KEYLA MITCHELL

  • 375 APPLE TREE DR

    IONIA, MI 488467506

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240216001776IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48846)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880598325View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
P S Y C H I A T R YMI
P S Y C H I A T R YMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What unique ID ties claims to KEYLA MITCHELL?
NPI 1295347128 is assigned to KEYLA MITCHELL under the national enumeration system.
Is KEYLA MITCHELL's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KEYLA MITCHELL?
The page reflects Professional Counselor for KEYLA MITCHELL. Clinical services aligned with this taxonomy classification.
Where is KEYLA MITCHELL's primary listing?
We display Ionia, Michigan because that is what the record indicates for KEYLA MITCHELL.
What if Ionia, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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