Individual provider Active NPI

Kristen Lee Boike, MS, LPC

  • Professional Counselor
  • Bloomfield Hills, MI
National Provider Identifier
1316418106
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401019308 Issued in MI
Practice address
36400 Woodward Ave Ste 222
Bloomfield Hills, MI 48304-0913
Phone
(248) 629-2799
NPI assigned
Dec 6, 2018
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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 6401019308 MI Primary

Addresses

Primary practice location

36400 Woodward Ave Ste 222
Bloomfield Hills, MI 48304-0913

Mailing address

36400 Woodward Ave Ste 222
Bloomfield Hills, MI 48304-0913
Phone (248) 629-2799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240327003734 MI Practitioner - Mental Health Counselor 0244677045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emh A2 CD, LLCGroup PAC ID 7719357086, 5 clinicians

Practice addresses (Care Compare)

36400 Woodward Ave
Suite 222
Bloomfield Hills, MI 48304-0904
Phone (248) 629-2799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6401019308MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emh A2 CD, LLC CurrentSince Feb 17, 2025 Accepting new patients
Emh Birmingham-Bloomfield-Troy LLC CurrentSince Mar 11, 2024 Accepting new patients

Locations

1601 Briarwood Cir
Ste 400
Ann Arbor, MI 48108
Phone (734) 822-4971

1785 W Stadium Blvd
Ste 203
Ann Arbor, MI 48103
Phone (734) 212-2872

1785 W Stadium Blvd
Ste 203A
Ann Arbor, MI 48103
Phone (734) 212-2872

36400 Woodward Ave
Ste 222
Bloomfield Hills, MI 48304
Phone (248) 629-2799

Organizations & group practices 2

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": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1316418106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36400 WOODWARD AVE STE 222",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040913",
            "telephone_number": "248-629-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36400 WOODWARD AVE STE 222",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040913",
            "telephone_number": "248-629-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOIKE",
        "first_name": "KRISTEN",
        "middle_name": "LEE",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.