Individual provider Active NPI

Kyle Eric Hinton Sr., MA, CAAC

  • Addiction (Substance Use Disorder) Counselor
  • Kentwood, MI
National Provider Identifier
1225263387
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
4475 Springmont Dr SE
Kentwood, MI 49512-5375
Phone
(616) 540-6393
NPI assigned
May 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

4475 Springmont Dr SE
Kentwood, MI 49512-5375

Mailing address

4475 Springmont
Kentwood, MI 49512-5375
Phone (616) 540-6393

Other names 1

  • Mr. Kyle Eric Hinton Sr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250228003234 MI Practitioner - Marriage and Family Therapist 0042731440 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hinton Counseling LLC CurrentSince Dec 27, 2024 Accepting new patients

Locations

800 Monroe Ave NW
Ste 201
Grand Rapids, MI 49503
Phone (616) 558-8751

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1225263387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 SPRINGMONT",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495125375",
            "telephone_number": "616-540-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 SPRINGMONT DR SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495125375",
            "telephone_number": "616-540-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINTON",
        "first_name": "KYLE",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MA, CAAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLE",
            "last_name": "HINTON",
            "middle_name": "ERIC",
            "prefix": "MR.",
            "suffix": "SR.",
            "credential": "MA, CAAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kentwood, MI

Sources for this page

Verify at the official NPI Registry.