Individual Healthcare Provider
Kenadi L Jefferson
Provider's NPPES record last updated: April 10, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1336629559
- Primary Specialty
- Counselor — Professional
- Practice Location
- South Lyon, Michigan
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 4:11 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Counselor
Professional
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YP2500X Technician/Technologist
Eye and Vision Services Providers
A broad category grouping different kinds of technologists and technicians. See individual definitions.
Taxonomy code 156F00000X
Provider-Reported License Information
- Counselor (Michigan)
- 6451023414
Practice Locations
Practice Location
127 N Lafayette St
South Lyon, Michigan 48178-1210
Phone: (248) 573-7417
Additional Practice Location
32100 Telegraph Rd Ste 205
Bingham Farms, Michigan 48025-2454
Phone: (248) 712-4266
Record Information
- Enumeration Date
- August 16, 2018
- Provider's NPPES Record Last Updated
- April 10, 2026
- Certification Date
- April 10, 2026
- NPISignal NPPES Dataset
- August 2026
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