Virginia Krolczyk, LPC, D.M., ED.S. – Counselor

Key facts

NPI: 1306372297
Entity type: Individual (NPI type 1)
Primary specialty: Counselor 101Y00000X
License: 6401009247 (MI)
Practice address: 13001 23 Mile Rd Ste 103
Shelby Township, MI 48315-2767
Phone: (800) 693-1916
NPI assigned: May 11, 2017
Sex: Female
Sole proprietor: No

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.

Richard Kneip, PH.D., P.C. Community/Behavioral Health Agency · Clarkston, MI · NPI 1679739700

Medicare reassignment NPD MI

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
I20250625000220	MI	Practitioner - Mental Health Counselor	3971015009	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
6401009247	MI	MD	Counselor

Practice roles

Organization	Specialty	Status	New patients
Richard Kneip, PH.D., P.C.		Current since Jun 6, 2025	Accepting new patients

Locations

13001 23 Mile Rd
Ste 103
Shelby Township, MI 48315
Phone (248) 602-2593

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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor	101Y00000X	6401009247	MI	Yes

Addresses

Primary practice location

13001 23 Mile Rd Ste 103
Shelby Township, MI 48315-2767

Mailing address

14710 Barton CT
Washington TWP, MI 48094-3243

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 19, 2023.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1306372297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14710 BARTON CT",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "480943243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 23 MILE RD STE 103",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152767",
            "telephone_number": "800-693-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLCZYK",
        "first_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "LPC, D.M., ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401009247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

All providers in Shelby Township, MI · Counselor in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.