Individual provider Active NPI

Julia Kieninger

  • Addiction (Substance Use Disorder) Counselor
  • Madison Heights, MI
National Provider Identifier
1215727508
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
28303 Dequindre Rd Ste 1
Madison Heights, MI 48071-3040
Phone
(248) 658-1116
NPI assigned
May 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

28303 Dequindre Rd Ste 1
Madison Heights, MI 48071-3040

Mailing address

15229 Grovedale St
Roseville, MI 48066-4015

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2091 Professional Dr
Flint, MI 48532-3657

28303 Dequindre Rd
Madison Heights, MI 48071-3040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1215727508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15229 GROVEDALE ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28303 DEQUINDRE RD STE 1",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713040",
            "telephone_number": "248-658-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIENINGER",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "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 Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.