Individual provider Active NPI

Kayla A Kreutzer

  • Social Worker
  • Lansing, MI
National Provider Identifier
1154997377
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801116916 Issued in MI
Practice address
2510 Kerry St Ste 210
Lansing, MI 48912-3671
Phone
(517) 273-2706
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801116916 MI Primary

Addresses

Primary practice location

2510 Kerry St Ste 210
Lansing, MI 48912-3671

Mailing address

300 Bailey St Ste 2
East Lansing, MI 48823-4688

Other practice location 1

111 E Cesar E Chavez Ave
Lansing, MI 48906-4384
Phone (630) 297-5838

Other practice location 2

300 Bailey St Ste 2
East Lansing, MI 48823-4688
Phone (517) 273-2706

Other identifiers 1

IdentifierTypeStateIssuer
6851110003OtherMILARA

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://rootedcounselingmi.com/
CONNECT URL https://rootedcounselingmi.com/ Rooted Counseling, LLC

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
6801116916MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kayla Kreutzer Counseling Clinical CurrentSince Mar 17, 2024 Accepting new patients
Rooted Counseling, LLC PastSince Jun 1, 2021 Accepting new patients

Locations

2510 Kerry St
Ste 210
Lansing, MI 48912
Phone (517) 273-2706

Organizations & group practices 2

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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1154997377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BAILEY ST STE 2",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 KERRY ST STE 210",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123671",
            "telephone_number": "517-273-2706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E Cesar E Chavez Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489064384",
            "country_code": "US",
            "telephone_number": "630-297-5838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Bailey St Ste 2",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488234688",
            "country_code": "US",
            "telephone_number": "517-273-2706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREUTZER",
        "first_name": "KAYLA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801116916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LARA",
            "identifier": "6851110003",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://rootedcounselingmi.com/",
            "affiliation": "N",
            "address_1": "111 E Cesar E Chavez Ave",
            "city": "Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "489064384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://rootedcounselingmi.com/",
            "affiliation": "Y",
            "endpointDescription": "Website",
            "affiliationName": "Rooted Counseling, LLC",
            "address_1": "111 E Cesar E Chavez Ave",
            "city": "Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "489064384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.