Individual provider Active NPI

Kristy Renee Ronald, LPC, NCC

  • Professional Counselor
  • Hartland, MI
National Provider Identifier
1174875843
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401012837 Issued in MI
Practice address
12319 Highland Rd
Suite 401
Hartland, MI 48353-2946
Phone
(810) 475-2005
NPI assigned
Oct 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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 6401012837 MI Primary

Addresses

Primary practice location

12319 Highland Rd
Suite 401
Hartland, MI 48353-2946

Mailing address

14440 Bouchner Dr
Linden, MI 48451-9709
Phone (810) 223-2510

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
6401012837MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Changes Counseling of Hartland, LLC Professional Current Accepting new patients
Changes Counseling of Hartland LLC Professional CurrentSince Feb 3, 2015 Accepting new patients
Arbor West Chiropractic Center P.C. Past Accepting new patients
Ann Arbor Counseling Associates, LLC PastSince Jul 1, 2019 Accepting new patients

Locations

12319 Highland Rd
Ste 401
Hartland, MI 48353
Phone (810) 475-2005

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": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1174875843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14440 BOUCHNER DR",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484519709",
            "telephone_number": "810-223-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12319 HIGHLAND RD",
            "address_2": "SUITE 401",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532946",
            "telephone_number": "810-475-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONALD",
        "first_name": "KRISTY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LPC,  NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.