Individual provider Active NPI

Anna-Liisa Marie Kautz

  • Mental Health Counselor
  • Ishpeming, MI
National Provider Identifier
1174159586
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451024833 Issued in MI
Practice address
308 Cleveland Ave Ste 114
Ishpeming, MI 49849-1842
Phone
(906) 631-7507
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6451024833 MI Primary

Addresses

Primary practice location

308 Cleveland Ave Ste 114
Ishpeming, MI 49849-1842

Mailing address

308 Cleveland Ave Ste 114
Ishpeming, MI 49849-1842
Phone (906) 631-7507

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
6451024833MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Forward Therapy Mental Health Current Accepting new patients
Great Lakes Recovery Centers PastSince Mar 22, 2020 Accepting new patients
Great Lakes Recovery Centers PastSince Mar 22, 2020 Accepting new patients
Monarch Healthcare Past Accepting new patients

Locations

308 Cleveland Ave
Ste 114
Ishpeming, MI 49849
Phone (906) 282-3130

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8602/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1174159586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CLEVELAND AVE STE 114",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491842",
            "telephone_number": "906-631-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 CLEVELAND AVE STE 114",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491842",
            "telephone_number": "906-631-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUTZ",
        "first_name": "ANNA-LIISA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451024833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ishpeming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.