Kristi Joy Cline, M.A., LPC
Individual provider Active NPI Counselor · Utica, MI
NPI 1306095435 · NPPES record last updated Nov 2, 2023
Key facts
- NPI
- 1306095435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 6401011050 (MI)
- Practice address
- 11111 Hall Rd
Suite 303
Utica, MI 48317-5711 - Phone
- (586) 997-3153
- NPI assigned
- Sep 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231127000248 | MI | Practitioner - Mental Health Counselor | 0042668451 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth and Associates PC | Current |
Accepting new patients |
Locations
11111 Hall Rd
Ste 303
Utica, MI 48317
Phone (586) 739-0902
11111 Hall Rd
Ste 300
Utica, MI 48317
Phone (586) 323-2181
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401011050 | MI | |
| Counselor | 101Y00000X | 6401011050 | MI | Yes |
Addresses
Primary practice location
11111 Hall Rd
Suite 303
Utica, MI 48317-5711
Mailing address
15677 Stockton Dr
Clinton Township, MI 48038-2677
Phone (586) 843-8730
Other providers in Utica, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.