Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ann Kathryn Modzeleski, LPC

Individual provider Psychologist · NPI 1457504847

Ann Kathryn Modzeleski, LPC is a Psychologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 258-7467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401011086 (MI)
Psychologist Taxonomy 103T00000X · Licence 6301014035 (MI)

Record details

NPI number1457504847
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 29, 2008
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

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