Julie Kostich-Connors, LLPC
Individual provider Active NPI Professional Counselor · Negaunee, MI
NPI 1144906207 · NPPES record last updated Jun 23, 2023
Key facts
- NPI
- 1144906207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6451022425 (MI)
- Practice address
- 20 Pine Run
Negaunee, MI 49866-9673 - Phone
- (775) 385-8445
- NPI assigned
- Jun 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
200 Yelle Rd
Gwinn, MI 49841-8721
220 W Washington St
Suite 405
Marquette, MI 49855-4347
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260602001693 | MI | Practitioner - Mental Health Counselor | 4587135405 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451022425 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JLK Therapy, LLC | Current | Accepting new patients |
Locations
220 W Washington St
Ste 405
Marquette, MI 49855
Phone (906) 362-1647
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6451022425 | MI | Yes |
Addresses
Primary practice location
20 Pine Run
Negaunee, MI 49866-9673
Mailing address
20 Pine Run
Negaunee, MI 49866-9673
Phone (775) 385-8445
Other names
- Julie Kostich
Other providers in Negaunee, MI
- Garrett Kesner
- Erika Suzanne Kielhorn
- Alysa Kilpela
- Alysha King
- Denise Evie Koehn
- Colette Louise Laakso
- Kenneth William Lacosse
- Peter A Lafreniere
- Jennifer Lahti
- Jayne Elizabeth Larock
All providers in Negaunee, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.