Active NPI
Kristine Lee Wiethoff, BS, CAC II
- Addiction (Substance Use Disorder) Counselor
- Escanaba, MI
National Provider Identifier
1184604308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1100 Ludington St
#401
Escanaba, MI 49829 - Phone
- (906) 789-1596
- Fax
- (906) 789-2024
- NPI assigned
- Jan 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1100 Ludington St
#401
Escanaba, MI 49829
Mailing address
1100 Ludington St
#401
Escanaba, MI 49829
Phone (906) 789-1596
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
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1184604308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 LUDINGTON ST",
"address_2": "#401",
"city": "ESCANABA",
"state": "MI",
"postal_code": "49829",
"telephone_number": "906-789-1596",
"fax_number": "906-789-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 LUDINGTON ST",
"address_2": "#401",
"city": "ESCANABA",
"state": "MI",
"postal_code": "49829",
"telephone_number": "906-789-1596",
"fax_number": "906-789-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIETHOFF",
"first_name": "KRISTINE",
"middle_name": "LEE",
"credential": "BS, CAC II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escanaba, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.