Individual provider Active NPI

Katelyn Lutey-Falkey, MA, LPC

  • Professional Counselor
  • Otisville, MI
National Provider Identifier
1366280489
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401018074 Issued in MI
Practice address
9600 Hamill Rd
Otisville, MI 48463-9612
Phone
(248) 884-4438
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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 6401018074 MI Primary

Addresses

Primary practice location

9600 Hamill Rd
Otisville, MI 48463-9612

Mailing address

9600 Hamill Rd
Otisville, MI 48463-9612
Phone (248) 884-4438

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
I20250820000561 MI Practitioner - Mental Health Counselor 0042719635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16133 Softwater Lake Dr
Linden, MI 48451-9702

215 S Main St
Unit 112
Linden, MI 48451-7004

9600 Hamill Rd
Otisville, MI 48463-9612

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6401018074MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Life Counseling PLLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

215 S Main St
Unit 112
Linden, MI 48451

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1366280489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 HAMILL RD",
            "city": "OTISVILLE",
            "state": "MI",
            "postal_code": "484639612",
            "telephone_number": "248-884-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 HAMILL RD",
            "city": "OTISVILLE",
            "state": "MI",
            "postal_code": "484639612",
            "telephone_number": "248-884-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTEY-FALKEY",
        "first_name": "KATELYN",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Otisville, MI

Sources for this page

Verify at the official NPI Registry.