Individual provider Active NPI

Indigo Skye Kotval, LPC

  • Professional Counselor
  • Lansing, MI
National Provider Identifier
1164095295
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401223713 Issued in MI
Practice address
6206 W Saginaw Hwy Ste B
Lansing, MI 48917-2496
Phone
(517) 974-8420
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401223713 MI Primary

Addresses

Primary practice location

6206 W Saginaw Hwy Ste B
Lansing, MI 48917-2496

Mailing address

2416 Twilight St
Jackson, MI 49203-3717
Phone (517) 974-8420

Other names 1

  • Indigo Skye Lankton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250412000105 MI Practitioner - Mental Health Counselor 9638693500 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TMB Counseling LLC CurrentSince May 1, 2022 Accepting new patients
Caya Counseling & Consulting Services LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

6206 W Saginaw Hwy
Ste B
Lansing, MI 48917
Phone (517) 242-3619

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1164095295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 TWILIGHT ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033717",
            "telephone_number": "517-974-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 W SAGINAW HWY STE B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172496",
            "telephone_number": "517-974-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTVAL",
        "first_name": "INDIGO",
        "middle_name": "SKYE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401223713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INDIGO",
            "last_name": "LANKTON",
            "middle_name": "SKYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.