Active NPI
Kayla A Kreutzer
- Social Worker
- Lansing, MI
National Provider Identifier
1154997377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801116916
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6851110003 | Other | MI | LARA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801116916 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kayla Kreutzer Counseling | Clinical | Current | Accepting new patients |
| Rooted Counseling, LLC | Past | 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.
-
- Clinical Social Worker
- Lansing, MI
- NPI 1962260166
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lansing, MI
- NPI 1174043848
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.