State of Grace Counseling PLLC
NPI 1093301947ActiveOrganization· Counselor, Professional· Dearborn, MI
Counselor, Professional in Dearborn, Michigan, registered in NPPES in December 2020. The authorized official on file is Jacqueline Kuehn, LPC, Clinical Therapist.
Overview
| NPI | 1093301947 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 15, 2020 |
| Last updated in NPPES | Sep 9, 2021 |
| Certified by provider | Sep 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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