Active NPI
Kristina Sutton, LPC
- Counselor
- Ludington, MI
National Provider Identifier
1417532904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401018448
- Practice address
- 6820 Travis Rd
Ludington, MI 49431-9424 - Phone
- (517) 242-3228
- NPI assigned
- Mar 16, 2021
- Last updated
- Nov 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401018448 | MI | Primary |
Addresses
Primary practice location
6820 Travis Rd
Ludington, MI 49431-9424
Mailing address
6820 Travis Rd
Ludington, MI 49431-9424
Phone (517) 242-3228
Other practice location 1
400 Viking View Dr
Potterville, MI 48876-9774
Phone (517) 242-3228
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401018448 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reflections Therapeutic Services, LLC | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Ludington, MI
- NPI 1356165096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731196800000",
"number": "1417532904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6820 TRAVIS RD",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494319424",
"telephone_number": "517-242-3228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6820 TRAVIS RD",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494319424",
"telephone_number": "517-242-3228"
}
],
"practiceLocations": [
{
"address_1": "400 Viking View Dr",
"address_purpose": "LOCATION",
"city": "Potterville",
"state": "MI",
"postal_code": "488769774",
"country_code": "US",
"telephone_number": "517-242-3228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTTON",
"first_name": "KRISTINA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-16",
"last_updated": "2024-11-10",
"certification_date": "2024-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401018448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ludington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.