Individual provider Active NPI

Kaitlin Patrzalek, LPC

  • Professional Counselor
  • Oxford, MI
National Provider Identifier
1306498076
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401017466 Issued in MI
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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 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

LicenseStateTypeSpecialty
6401017466MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.