Individual provider Active NPI

Rita Kinstle, MA, LLPC, CAC-M

  • Professional Counselor
  • Livonia, MI
National Provider Identifier
1437373552
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401012582 Issued in MI
Practice address
31153 Plymouth Rd
Suite 104
Livonia, MI 48150-2134
Phone
(734) 474-8131
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1-04117 MI
Professional Counselor 101YP2500X 6401012582 MI Primary
Mental Health Counselor 101YM0800X 6401012582 MI

Addresses

Primary practice location

31153 Plymouth Rd
Suite 104
Livonia, MI 48150-2134

Mailing address

31153 Plymouth Rd
Suite 104
Livonia, MI 48150-2134
Phone (734) 474-8131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240222002083 OH Practitioner - Mental Health Counselor 4789804154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sequoia Wellness Center LLCGroup PAC ID 3173045010, 2 clinicians

Practice addresses (Care Compare)

3000 Elida Rd
Suite 2
Lima, OH 45805-1232
Phone (248) 821-2750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1-04117MIMDAddiction (Substance Use Disorder) Counselor
6401012582MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Counseling and Consultation, LLC CurrentSince Jan 26, 2024 Accepting new patients
Sequoia Wellness Center LLC Professional CurrentSince Dec 14, 2024 Accepting new patients
Michael D. Griffith, PH.D. & Assoc., LLC PastSince Dec 31, 2024 Accepting new patients

Locations

401 E Market St
Celina, OH 45822
Phone (419) 305-7214

112 N Main St
Celina, OH 45822
Phone (419) 584-5123

3000 Elida Rd
Ste 2
Lima, OH 45805
Phone (248) 821-2750

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1437373552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31153 PLYMOUTH RD",
            "address_2": "SUITE 104",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502134",
            "telephone_number": "734-474-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31153 PLYMOUTH RD",
            "address_2": "SUITE 104",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502134",
            "telephone_number": "734-474-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSTLE",
        "first_name": "RITA",
        "name_prefix": "Ms.",
        "credential": "MA, LLPC, CAC-M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "1-04117",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012582",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.