Individual provider Active NPI

Kristen Phillips, LPC, CAADC

  • Counselor
  • Rochester Hills, MI
National Provider Identifier
1275935280
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
145 Rochdale Dr S Ste F
Rochester Hills, MI 48309-2275
Phone
(248) 608-4514
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

145 Rochdale Dr S Ste F
Rochester Hills, MI 48309-2275

Mailing address

145 Rochdale Dr S Ste F
Rochester Hills, MI 48309-2275
Phone (248) 608-4514

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
I20231215002244 MI Practitioner - Mental Health Counselor 8426407495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tree of Life Counseling Services LLCGroup PAC ID 4082156856, 24 clinicians

Practice addresses (Care Compare)

1460 Walton Blvd
Suite 60
Rochester Hills, MI 48309-1729
Phone (248) 608-4514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S Salter DPM PC CurrentSince Apr 13, 2024 Accepting new patients
Tree of Life Counseling Services LLC CurrentSince Apr 13, 2024 Accepting new patients

Locations

1460 Walton Blvd
Ste 60
Rochester Hills, MI 48309
Phone (248) 651-0653

145 Rochdale Dr S
Ste F
Rochester Hills, MI 48309
Phone (248) 609-3127

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": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1275935280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ROCHDALE DR S STE F",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092275",
            "telephone_number": "248-608-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ROCHDALE DR S STE F",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092275",
            "telephone_number": "248-608-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KRISTEN",
        "credential": "LPC, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2022-08-01",
        "certification_date": "2021-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.