Individual provider Active NPI

Christine Jostock, M.A., L.P.C.

  • Mental Health Counselor
  • Waterford, MI
National Provider Identifier
1184072977
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401014538 Issued in MI
Practice address
3400 Heron Pointe CT
Waterford, MI 48328-4186
Phone
(248) 251-2020
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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 6401014538 MI Primary

Addresses

Primary practice location

3400 Heron Pointe CT
Waterford, MI 48328-4186

Mailing address

3400 Heron Pointe CT
Waterford, MI 48328-4186
Phone (248) 251-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401014538MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
It'S a New Day Counseling, LLC Current Accepting new patients

Organizations & group practices 1

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1184072977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 HERON POINTE CT",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483284186",
            "telephone_number": "248-251-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HERON POINTE CT",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483284186",
            "telephone_number": "248-251-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSTOCK",
        "first_name": "CHRISTINE",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.