Individual provider Active NPI

Sara Rietsch, MS, LPC, CAADC

  • Counselor
  • Grand Blanc, MI
National Provider Identifier
1265828917
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401015424 Issued in MI
Practice address
5458 Green Bank Dr
Grand Blanc, MI 48439-9595
Phone
(248) 970-1362
NPI assigned
Apr 9, 2015
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401015424 MI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X MI

Addresses

Primary practice location

5458 Green Bank Dr
Grand Blanc, MI 48439-9595

Mailing address

5458 Green Bank Dr
Grand Blanc, MI 48439-9595

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
I20240614003891 MI Practitioner - Mental Health Counselor 5395288658 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6401015424MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Apr 21, 2024 Accepting new patients
Bright Pine, Inc. PastSince May 1, 2018 Accepting new patients
Heartstone Guidance Center LLC PastSince Mar 25, 2020 Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 230-0167

8245 Holly Rd
Ste 200
Grand Blanc, MI 48439
Phone (248) 206-5239

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1265828917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5458 GREEN BANK DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 GREEN BANK DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399595",
            "telephone_number": "248-970-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIETSCH",
        "first_name": "SARA",
        "credential": "MS, LPC, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401015424",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.