Kinita Boller is a Case Manager/Care Coordinator practicing in Southfield, Michigan. The National Provider Identifier (NPI) is #1225843238, which was assigned on February 8, 2025, and the registration record was last updated on February 8, 2025. The practitioner's main practice location is at 29200 Northwestern Hwy Ste 110, Southfield, MI 48034-1055; the contact telephone number is 2484837804. The primary taxonomy of Kinita Boller is Case Manager/Care Coordinator (171M00000X). Kinita Boller is licensed to practice in the state of Michigan.
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
| NPI | 1225843238 |
| Entity Type | Individual |
| Provider Name | MRS. KINITA BOLLER |
| Gender | Female |
| Credential | MS |
| Practice Address |
29200 Northwestern Hwy Ste 110 Southfield MI 48034-1055 |
| Practice Telephone | 2484837804 |
| Mailing Address |
29200 Northwestern Hwy Ste 110 Southfield MI 48034-1055 |
| Certification Date | 2025-02-08 |
| Enumeration Date | 2025-02-08 |
| Last Update Date | 2025-02-08 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | MI |
| Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| Classification | Case Manager/Care Coordinator |
| Grouping | Other Service Providers |
| Definition: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Elvis Agrey Musi | 2129 Ruby Turn, Bowie, MD 20721-1896 | Case Manager/Care Coordinator | 2025-03-08 |
| Jocelyn Johnson | 1301 Lenfant Sq Se, Washington, DC 20020-6724 | Case Manager/Care Coordinator | 2025-03-07 |
| Shantal Orea Reyes | 2020 Iowa Ave Ste 101, Riverside, CA 92507-7428 | Case Manager/Care Coordinator | 2025-03-07 |
| James Ferguson | 111 E Columbus St, Kenton, OH 43326-1514 | Case Manager/Care Coordinator | 2025-03-07 |
| Impressive Hands LLC | 7436 Rose Crest Blvd, Forest Hill, TX 76140-2099 | Case Manager/Care Coordinator | 2025-03-08 |
| Patrick Halpin | 1010 S Main St, Fall River, MA 02724-2855 | Case Manager/Care Coordinator | 2025-03-07 |
| Ethan Segal | 120 Se Market St, Portland, OR 97214-4501 | Case Manager/Care Coordinator | 2025-03-07 |
| Ilham Ismail | 1095 Crossings Ct, Stone Mountain, GA 30083-5276 | Case Manager/Care Coordinator | 2025-03-07 |
| Hosea Chikelem Achu | 1305 Merganser Ct, Upper Marlboro, MD 20774-7015 | Case Manager/Care Coordinator | 2025-03-08 |
| Joslyn N Smith | 14455 Kimberly Rd, Athens, OH 45701-9430 | Case Manager/Care Coordinator | 2025-03-07 |
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| Street Address |
29200 NORTHWESTERN HWY STE 110 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1055 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Sonya Juan Wilson | 29200 Northwestern Hwy Ste 110, Southfield, MI 48034-1055 | Case Manager/Care Coordinator | 2025-03-03 |
| Easterseals Morc Health Care, Inc. | 29200 Northwestern Hwy Ste 110, Southfield, MI 48034-1055 | Community/Behavioral Health Agency | 2022-01-11 |
| Keira Janeen King · Keira Janeen Norman | 29200 Northwestern Hwy Ste 110, Southfield, MI 48034-1055 | Registered Nurse | 2018-10-24 |
| Talia Onay Pruiett | 29200 Northwestern Hwy Ste 110, Southfield, MI 48034-1055 | Social Worker | 2023-12-27 |
| Kimberly Brittman | 29200 Northwestern Hwy Ste 110, Southfield, MI 48034-1055 | Social Worker | 2021-09-13 |
| Roya Herrle | 29200 Northwestern Hwy Ste 110, Southfield, MI 48034-1055 | Social Worker | 2021-12-07 |
| Stephanie Jordan Johnson | 29200 Northwestern Hwy Ste 110, Southfield, MI 48034-1055 | Clinical Social Worker | 2024-01-22 |
| Jamell Hakim Grimes | 29200 Northwestern Hwy Ste 110, Southfield, MI 48034-1055 | Social Worker | 2022-02-04 |
| Alexandria Marie Palazzolo | 29200 Northwestern Hwy Ste 110, Southfield, MI 48034-1055 | Basic Emergency Medical Technician | 2024-11-04 |
| Charena Hines | 29200 Northwestern Hwy Ste 110, Southfield, MI 48034-1055 | Case Manager/Care Coordinator | 2016-07-06 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Peace of Mind Christian Counseling, LLC | 29777 Telegraph Rd., #1350, Southfield, MI 48034 | Professional Counselor | 2024-03-06 |
| Alexis Shivers | 27500 Lahser Rd, Southfield, MI 48034 | Physical Therapy Assistant | 2019-04-02 |
| Lisa Marie Simon · Lisa Marie Dehondt | 29201 Telegraph Road, Suite 500, Southfield, MI 48034 | Audiologist | 2016-10-10 |
| Ramsey Fon | 25707 W 12 Mile Rd., Southfield, MI 48034 | Licensed Practical Nurse | 2017-02-24 |
| Milena Kljaic | 29877 Telegraph Rd Ste 200, Southfield, MI 48034 | Primary Care Nurse Practitioner | 2018-07-20 |
| Deandria Fox | 28965 Willow Court, #204, Southfield, MI 48034 | Counselor | 2016-03-01 |
| Theramedic Home Health Care LLC | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | Home Health Agency | 2017-06-08 |
| El-Abbadi Healthcare Center | 27403 Lahser Rd, Southfield, MI 48034 | Physical Therapy Clinic/Center | 2018-02-14 |
| Recore Rehabilitation Services | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | Physical Therapy Clinic/Center | 2018-06-04 |
| Aylin Deniz Downey | 29877 Telegraph Rd Ste 210, Southfield, MI 48034 | Obstetrics & Gynecology Physician | 2015-05-05 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Diana E Boller | 1027 Memorial Dr, Oakland, MD 21550-4343 | Clinical Social Worker | 2015-04-23 |
| Ashley Boller | 5333 Mcauley Dr, Suite 6109, Ypsilanti, MI 48197 | Physician Assistant | 2017-02-01 |
| Kinita Patel | 3350 Wilkens Ave Ste 303, Baltimore, MD 21229 | Student in an Organized Health Care Education/Training Program | 2017-10-19 |
| Courtney Boller | 635 Cox Rd, Unit B, Gastonia, NC 28054-3424 | Marriage & Family Therapist | 2015-08-14 |
| Linda Boller | 2715 Madison Ave, Indianapolis, IN 46225-2112 | Pharmacist | 2010-02-11 |
| Francois Boller | 4301 Military Rd Nw, Washington, DC 20015-2136 | Specialist | 2014-05-19 |
| Jean Boller | 603 E Hildebrand Ave, San Antonio, TX 78212-2693 | Audiologist-Hearing Aid Fitter | 2005-10-13 |
| William A Boller III | 1 Wahoo Ave, Groton, CT 06349-2324 | Family Medicine Physician | 2009-06-12 |
| Kinita C Fleming | 320 Hoover Ave, Akron, OH 44312-1441 | Health & Wellness Coach | 2025-01-13 |
| Daniel J Boller | 335 Main St, Greenville, PA 16125-2614 | Pharmacist | 2009-08-20 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |