Kristyn Kostelec, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801094469 Issued in MI

Practice address

500 Barfield Dr
Hastings, MI 49058-9018

Phone

(269) 948-8041

Fax

(269) 948-9319

NPI assigned

Jun 25, 2012

Last updated

May 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Barry County Community Mental Health Authority

  • Psychiatry Physician
  • Hastings, MI
  • NPI 1952357410

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1417211491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BARFIELD DR",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490589018",
            "telephone_number": "269-948-8041",
            "fax_number": "269-948-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BARFIELD DR",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490589018",
            "telephone_number": "269-948-8041",
            "fax_number": "269-948-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTELEC",
        "first_name": "KRISTYN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "N445000013",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Killian
• Hailey Kissinger
• Nolan Klunder, MD
• Hannah Kohn
• Jode Kok
• Laura J Kota, MD
• Jennifer Jane Krauss
• Chad Martin Kresnak, O.D.
• Carrie Krueger
• Michael Kuik, BA

• Clinical Social Worker in Hastings, MI
• Providers in Hastings, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.