Kristin Penix, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801094044 Issued in MI

Practice address

6548 Town Center Dr
Clarkston, MI 48346-4823

Phone

(248) 663-4338

NPI assigned

Jan 2, 2015

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  Medicare reassignment Care Compare group NPD
• Ann Arbor Counseling Associates, LLC

  • Mental Health Counselor
  • Ann Arbor, MI
  • NPI 1881932283
  Medicare reassignment
• Futures Healthcore, LLC

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1164599544
  Medicare reassignment
• Arbor West Chiropractic Center P.C.

  • Chiropractor
  • Ann Arbor, MI
  • NPI 1467529453
  NPD (past)

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1124416979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772263",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772263",
            "telephone_number": "248-453-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6548 TOWN CENTER DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464823",
            "telephone_number": "248-663-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENIX",
        "first_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094044",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801094044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Patterson, LPC
• Stefanie Pavloski, LLPC
• Mary Pawlowski
• Kathleen Pearson, LPN
• Holly Pelton, RD
• Kathleen M Pepper, PT
• Periodontal Specialists of Clarkston
• Periodontal Specialists of Clarkston PC
• David Alan Perlman, MD
• Perry Drug Stores Inc and Subsidiaries (Rite Aid Pharmacy 04592)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.