Individual provider Active NPI

Edward Joseph Kainz, MA LPC

  • Counselor
  • Sterling Heights, MI
National Provider Identifier
1215054812
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401005527 Issued in MI
Practice address
36250 Dequindre Rd
Suite 310
Sterling Heights, MI 48310-7143
Phone
(586) 795-0569
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401005527 MI Primary

Addresses

Primary practice location

36250 Dequindre Rd
Suite 310
Sterling Heights, MI 48310-7143

Mailing address

1188 Arms CT
Rochester Hills, MI 48307-3177
Phone (248) 656-6563

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401005527MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mazher Hussain MD, PC Past Accepting new patients
North Point-Pioneer, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7909/brand/1/csg/1/fhir/r4

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215054812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 ARMS CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073177",
            "telephone_number": "248-656-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36250 DEQUINDRE RD",
            "address_2": "SUITE 310",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483107143",
            "telephone_number": "586-795-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAINZ",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401005527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.