Individual provider Active NPI

Karol K Teetor, LPC

  • Professional Counselor
  • Rochester Hills, MI
National Provider Identifier
1033423645
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401011575 Issued in MI
Practice address
705 Barclay Cir Ste 125
Rochester Hills, MI 48307-4575
Phone
(248) 983-9136
NPI assigned
Aug 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401011575 MI Primary

Addresses

Primary practice location

705 Barclay Cir Ste 125
Rochester Hills, MI 48307-4575

Mailing address

705 Barclay Cir Ste 125
Rochester Hills, MI 48307-4575
Phone (248) 983-9136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401011575MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
River Trail Counseling Associates, LLC Professional CurrentSince Aug 27, 2023 Accepting new patients

Locations

705 Barclay Cir
Ste 125
Rochester Hills, MI 48307
Phone (248) 983-9136

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1033423645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BARCLAY CIR STE 125",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074575",
            "telephone_number": "248-983-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BARCLAY CIR STE 125",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074575",
            "telephone_number": "248-983-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETOR",
        "first_name": "KAROL",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.