Individual provider Active NPI

Kala June Hutchinson, LPC, CAADC

  • Counselor
  • Indian River, MI
National Provider Identifier
1396333977
Registry record updated Jul 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401222710 Issued in MI
Practice address
PO Box 629
Indian River, MI 49749-0629
Phone
(231) 268-9583
NPI assigned
Jan 8, 2021
Last updated
Jul 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401222710 MI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X C-04915 MI
Mental Health Counselor 101YM0800X 6401222710 MI

Addresses

Primary practice location

PO Box 629
Indian River, MI 49749-0629

Mailing address

PO Box 629
Indian River, MI 49749-0629
Phone (231) 268-9583

Other practice location 1

214 Water St
Boyne City, MI 49712-2203
Phone (231) 268-9583

Other names 1

  • Kala June Thompson Former name

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
I20250811001168 MI Practitioner - Mental Health Counselor 5991203895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

6548 Town Ctr Dr
Suite D
Clarkston, MI 48346-4823
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-04915MIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Jul 25, 2025 Accepting new patients
Bear River Primary Care PastSince Jan 1, 2021 Accepting new patients
Walloon Lake Recovery Lodge, LLC Counselor PastSince Jan 1, 2021 Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 422-1430

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21307/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753574400000",
    "number": "1396333977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497490629",
            "telephone_number": "231-268-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497490629",
            "telephone_number": "231-268-9583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Water St",
            "address_purpose": "LOCATION",
            "city": "Boyne City",
            "state": "MI",
            "postal_code": "497122203",
            "country_code": "US",
            "telephone_number": "231-268-9583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "KALA",
        "middle_name": "JUNE",
        "credential": "LPC, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401222710",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-04915",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401222710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALA",
            "last_name": "THOMPSON",
            "middle_name": "JUNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indian River, MI

Sources for this page

Verify at the official NPI Registry.