Krystle Stach, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

200 W Spring St
Marquette, MI 49855-4661

Phone

(906) 225-1181

NPI assigned

Jun 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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.

• Pathways

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marquette, MI
  • NPI 1487683546
  Medicare reassignment

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1053987040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W SPRING ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554661",
            "telephone_number": "906-225-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W SPRING ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554661",
            "telephone_number": "906-225-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACH",
        "first_name": "KRYSTLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Sperling, MD
• Carter Jay Sperstad
• Kim Spranger
• Amelia W Sramek, D.O.
• Laura St Onge, NP-C
• Jamie Stafford
• William G Stahl III, M.D.
• Greg Stalboerger
• Beth Anne-Roberts Stanaway, FNP-C, MPH
• Richard Anthony Stanchina, DDS

• Social Worker in Marquette, MI
• Providers in Marquette, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.