Individual provider Active NPI

Kristal Patrice Hunt, LCSW

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1033778725
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801104141 Issued in MI
Practice address
29501 Greenfield Rd Ste 124
Southfield, MI 48076-2250
Phone
(313) 283-7659
Fax
(313) 217-4162
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801104141 MI Primary

Addresses

Primary practice location

29501 Greenfield Rd Ste 124
Southfield, MI 48076-2250

Mailing address

16159 Lexington
Redford, MI 48240-2432
Phone (313) 231-0108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260126001557 MI Practitioner - Clinical Social Worker 0749767325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16159 Lexington
Redford, MI 48240-2432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801104141MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Becoming Counseling Services LLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

29501 Greenfield Rd
Ste 124
Southfield, MI 48076
Phone (313) 283-7659

21751 W 11 Mile Rd
Ste 114
Southfield, MI 48076
Phone (248) 905-1389

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": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1033778725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16159 LEXINGTON",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402432",
            "telephone_number": "313-231-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29501 GREENFIELD RD STE 124",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762250",
            "telephone_number": "313-283-7659",
            "fax_number": "313-217-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "KRISTAL",
        "middle_name": "PATRICE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.