Individual provider Active NPI

Janice Kosta, MSW

  • Social Worker
  • Ann Arbor, MI
National Provider Identifier
1437293172
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801068146 Issued in MI
Practice address
15 Research Dr
Ann Arbor, MI 48103-2974
Phone
(734) 662-6300
Fax
(734) 662-3365
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801068146 MI Primary

Addresses

Primary practice location

15 Research Dr
Ann Arbor, MI 48103-2974

Mailing address

450 Huntington Dr
Ann Arbor, MI 48104-1822
Phone (734) 662-6300

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
I20040720000652 MI Practitioner - Clinical Social Worker 9931188109 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Psychiatry, PLC CurrentSince Oct 26, 2020 Accepting new patients
Center for Family Psychiatry, PLC CurrentSince Oct 26, 2020 Accepting new patients
Northlight Counseling Associates Inc Past Accepting new patients
Huron Valley Consultation Center Inc Past Accepting new patients

Locations

1235 Industrial Dr
Saline, MI 48176
Phone (734) 263-9276

1235 Industrial Dr
Ste 4
Saline, MI 48176
Phone (734) 944-8300

Organizations & group practices 4

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437293172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 HUNTINGTON DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041822",
            "telephone_number": "734-662-6300",
            "fax_number": "734-662-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RESEARCH DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032974",
            "telephone_number": "734-662-6300",
            "fax_number": "734-662-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTA",
        "first_name": "JANICE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801068146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.