Kristine Kay Coffee, MA-LPCC, CCJP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401017227 Issued in MI

Practice address

1571 Joslyn Rd
Muskegon, MI 49445-2635

Phone

(231) 571-7042

NPI assigned

Jun 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of MuskegonGroup PAC ID 2264325448, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• County of Muskegon

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Muskegon, MI
  • NPI 1003914946
  Medicare reassignment Care Compare group NPD
• County of Muskegon

  • Skilled Nursing Facility
  • Muskegon, MI
  • NPI 1659440816
  NPD

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

{
    "created_epoch": "1559433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559433600000",
    "number": "1164080412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 JOSLYN RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494452635",
            "telephone_number": "231-571-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 JOSLYN RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494452635",
            "telephone_number": "231-571-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEE",
        "first_name": "KRISTINE",
        "middle_name": "KAY",
        "credential": "MA-LPCC, CCJP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-02",
        "last_updated": "2019-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Elizabeth Coallier, MD
• Coastal Chiropractic of Muskegon PC
• Lisa Cobb, LMSW
• Peter R Cockram, CRNA
• Lesley J Cody, LLMSW
• Aubrey Leighanne Cogle
• Judith Ellen Cohen, LLP, LMSW
• Boyd J. Colbry, CRNA
• Jeffrey Keith Colburn, DDS
• Clarissa Cole

• Professional Counselor in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2019; 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.