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

MS. Kelli Lee Mistry, MALLPC

Individual provider Mental Health Counselor · NPI 1376136986

MS. Kelli Lee Mistry, MALLPC is a Mental Health Counselor in Monroe, Michigan. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

204 S Macomb St Ste 7
Monroe, MI 48161-2121
Phone: (734) 265-6749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6451019064 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6401019064 (MI)

Record details

NPI number1376136986
Entity typeIndividual (Type 1)
GenderFemale
Credentials MALLPC
Sole proprietorYes
NPI enumeratedFebruary 15, 2021
Last updated in NPPESFebruary 8, 2022
Certification dateFebruary 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Monroe