Individual provider Active NPI

Hugo E. Kanitz, PHD

  • Mental Health Counselor
  • Traverse City, MI
National Provider Identifier
1386300838
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401000808 Issued in MI
Practice address
2980 Arborvitae Dr Apt 25
Traverse City, MI 49685-6713
Phone
(231) 932-9522
NPI assigned
Nov 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401000808 MI Primary

Addresses

Primary practice location

2980 Arborvitae Dr Apt 25
Traverse City, MI 49685-6713

Mailing address

2980 Arborvitae Dr Ste 252980
Traverse City, MI 49685-6705
Phone (231) 932-9522

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6401000808MIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1386300838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 ARBORVITAE DR STE 252980",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496856705",
            "telephone_number": "231-932-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 ARBORVITAE DR APT 25",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496856713",
            "telephone_number": "231-932-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANITZ",
        "first_name": "HUGO",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401000808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.