Active NPI
Theodora Kolkena, L.AC
- Acupuncturist
- Rochester Hills, MI
National Provider Identifier
1285525667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 5402000313
- Practice address
- 455 S Livernois Rd Ste C-14
Rochester Hills, MI 48307-2582 - Phone
- (248) 963-2904
- NPI assigned
- Jul 14, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 5402000313 | MI | Primary |
Addresses
Primary practice location
455 S Livernois Rd Ste C-14
Rochester Hills, MI 48307-2582
Mailing address
3508 Kossuth Rd
Lake Orion, MI 48360-2507
Phone (248) 558-0359
Other practice location 1
2300 Haggerty Rd Ste 1190
West Bloomfield, MI 48323-2188
Phone (248) 470-0155
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 |
|---|---|---|---|
| 5402000313 | MI | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DK Wellness LLC | Acupuncturist | Current | Accepting new patients |
Locations
455 S Livernois Rd
Ste C14
Rochester Hills, MI 48307
Phone (248) 960-2904
Organizations & group practices 1
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.
-
- Acupuncturist
- Rochester Hills, MI
- NPI 1447142856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1285525667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3508 KOSSUTH RD",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483602507",
"telephone_number": "248-558-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S LIVERNOIS RD STE C-14",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483072582",
"telephone_number": "248-963-2904"
}
],
"practiceLocations": [
{
"address_1": "2300 Haggerty Rd Ste 1190",
"address_purpose": "LOCATION",
"city": "West Bloomfield",
"state": "MI",
"postal_code": "483232188",
"country_code": "US",
"telephone_number": "248-470-0155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOLKENA",
"first_name": "THEODORA",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-14",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MI",
"license": "5402000313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.