Individual provider Active NPI

Kimberly Kay Christensen, LPC

  • Professional Counselor
  • Grand Ledge, MI
National Provider Identifier
1275965931
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013669 Issued in MI
Practice address
311 Harrison St
Grand Ledge, MI 48837-1577
Phone
(517) 338-3090
Fax
(517) 338-3090
NPI assigned
Aug 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401013669 MI Primary

Addresses

Primary practice location

311 Harrison St
Grand Ledge, MI 48837-1577

Mailing address

8900 Bath Rd
Laingsburg, MI 48848-9362
Phone (517) 290-9675

Other practice location 1

8900 Bath Rd
Laingsburg, MI 48848-9362
Phone (517) 290-9675

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
I20240108003971 MI Practitioner - Mental Health Counselor 6608127568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovery Pathways LLCGroup PAC ID 3971792326, 9 clinicians
Insight Counseling Services of Greater Lansing LLCGroup PAC ID 5597148007, 11 clinicians

Practice addresses (Care Compare)

1009 Washington Ave
Bay City, MI 48708-5705
Phone (989) 928-3566

311 Harrison St
Grand Ledge, MI 48837-1577
Phone (517) 338-3090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling Services of Greater Lansing LLC Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients
Compassion Counseling Services, LLC. Addiction (Substance Use Disorder) Current Accepting new patients
Recovery Pathways, LLC PastSince Mar 19, 2016 Accepting new patients
Recovery Pathways, LLC PastSince Jul 9, 2023 Accepting new patients

Locations

311 Harrison St
Grand Ledge, MI 48837
Phone (517) 338-3090

100 W Saginaw Hwy
Ste B
Grand Ledge, MI 48837
Phone (517) 338-3090

Interoperability endpoints

  • Direct secure messaging: recoverypathways.kimchristensen@146773.advancedmd-direct.com

Organizations & group practices 4

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": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1275965931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 BATH RD",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488489362",
            "telephone_number": "517-290-9675",
            "fax_number": "517-481-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 HARRISON ST",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371577",
            "telephone_number": "517-338-3090",
            "fax_number": "517-338-3090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 Bath Rd",
            "address_purpose": "LOCATION",
            "city": "Laingsburg",
            "state": "MI",
            "postal_code": "488489362",
            "country_code": "US",
            "telephone_number": "517-290-9675",
            "fax_number": "517-481-3313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Ledge, MI

Sources for this page

Verify at the official NPI Registry.