Active NPI
Krystal L Morin, OTRL
- Mental Health Occupational Therapist
- Flint, MI
National Provider Identifier
1265186175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Occupational Therapist
- License
- 5201009710
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5201009710 | Other | MI | OCCUPATIONAL THERAPIST LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201009710 | MI | MD | Mental Health Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesee Health System | Past | Accepting new patients | |
| Genesee Health System | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flint, MI
- NPI 1043554348
-
- Federally Qualified Health Center (FQHC)
- Flint, MI
- NPI 1962140137
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.