Active NPI
Kaitlin Patrzalek, LPC
- Professional Counselor
- Oxford, MI
National Provider Identifier
1306498076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401017466
- Practice address
- 2B S Washington St
Oxford, MI 48371-4971 - Phone
- (248) 834-0614
- Fax
- (248) 487-9377
- NPI assigned
- Jul 12, 2019
- Last updated
- Oct 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401017466 | MI | Primary |
Addresses
Primary practice location
2B S Washington St
Oxford, MI 48371-4971
Mailing address
1480 Tamarack LN
Oakland, MI 48363-1253
Phone (248) 690-7888
Other practice location 1
244 W Park St
Lapeer, MI 48446-2164
Phone (248) 834-0614
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 |
|---|---|---|---|
| 6401017466 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willows Edge LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Lake Orion, MI
- NPI 1730484965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1306498076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 TAMARACK LN",
"city": "OAKLAND",
"state": "MI",
"postal_code": "483631253",
"telephone_number": "248-690-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2B S WASHINGTON ST",
"city": "OXFORD",
"state": "MI",
"postal_code": "483714971",
"telephone_number": "248-834-0614",
"fax_number": "248-487-9377"
}
],
"practiceLocations": [
{
"address_1": "244 W Park St",
"address_purpose": "LOCATION",
"city": "Lapeer",
"state": "MI",
"postal_code": "484462164",
"country_code": "US",
"telephone_number": "248-834-0614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATRZALEK",
"first_name": "KAITLIN",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-12",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401017466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.