Krystyna Maria Kitlinski, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401224599 Issued in MI

Practice address

1008 E Madge Ave
Hazel Park, MI 48030-2163

Phone

(313) 844-7183

NPI assigned

Sep 26, 2022

Last updated

Dec 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1245953025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 E MADGE AVE",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480302163",
            "telephone_number": "313-844-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 E MADGE AVE",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480302163",
            "telephone_number": "313-844-7183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38600 Van Dyke Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483121171",
            "country_code": "US",
            "telephone_number": "586-738-0195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITLINSKI",
        "first_name": "KRYSTYNA",
        "middle_name": "MARIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401224599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Kelm, PHARMD
• Kids First Pediatrics PLLC
• Abbi Michelle Kill, BSN
• Colleen Hanna Kinaia, MSN, FNP-BC
• Kira Burnett Therapy LLC
• Lauren Ko-Appelbaum, DDS
• Kristin Alexis Kops, DO
• Kroger Co of Michigan (Kroger Pharmacy #447)
• Tosha Lesonsky
• Marcia Lewis, PHARMD

• Counselor in Hazel Park, MI
• Providers in Hazel Park, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.