Individual provider Active NPI

Krystal L Morin, OTRL

  • Mental Health Occupational Therapist
  • Flint, MI
National Provider Identifier
1265186175
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
License
5201009710 Issued in MI
Practice address
1057 E Coldwater Rd
Flint, MI 48505-1501
Phone
(810) 257-3740
NPI assigned
Feb 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Occupational Therapist 225XM0800X 5201009710 MI Primary

Addresses

Primary practice location

1057 E Coldwater Rd
Flint, MI 48505-1501

Mailing address

3614 Whittier Ave
Flint, MI 48506-4729
Phone (810) 280-5030

Other identifiers 1

IdentifierTypeStateIssuer
5201009710OtherMIOCCUPATIONAL THERAPIST LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmorin@genhs.org Genesee Health System

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

State licenses

LicenseStateTypeSpecialty
5201009710MIMDMental Health Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Health System PastSince Feb 13, 2022 Accepting new patients
Genesee Health System PastSince Feb 13, 2022 Accepting new patients

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": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1265186175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 WHITTIER AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485064729",
            "telephone_number": "810-280-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 E COLDWATER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485051501",
            "telephone_number": "810-257-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIN",
        "first_name": "KRYSTAL",
        "middle_name": "L",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "MI",
            "license": "5201009710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST LICENSE",
            "identifier": "5201009710",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmorin@genhs.org",
            "affiliation": "Y",
            "affiliationName": "Genesee Health System",
            "address_1": "1057 E Coldwater Rd",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485051501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.