Moana Kutsche, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851111309 Issued in MI

Practice address

2663 44TH St SW Ste 101
Wyoming, MI 49519-4189

Phone

(616) 226-4385

Fax

(517) 367-0681

NPI assigned

Nov 2, 2023

Sex

Female

Sole proprietor

No

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.

• DBT Institute of Mi

  • Psychiatric Residential Treatment Facility
  • Mason, MI
  • NPI 1982063889

  Clinical, MI

  Medicare reassignment Care Compare group NPD
• DBT Institute of Mi

  • Community/Behavioral Health Agency
  • Mason, MI
  • NPI 1992552905
  NPD

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DBT Institute of Mi 12 clinicians

Practice addresses (Care Compare)

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2023.

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1497528368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2663 44TH ST SW STE 101",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194189",
            "telephone_number": "616-226-4385",
            "fax_number": "517-367-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2663 44TH ST SW STE 101",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194189",
            "telephone_number": "616-226-4385",
            "fax_number": "517-367-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTSCHE",
        "first_name": "MOANA",
        "name_prefix": "Ms.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851111309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter A Kuhl, M.D.
• Sonia A Kuhn, FNP-C
• Jordan Kuipers, O.D.
• Ganesh Kumar, DO
• Matthew Kuo, DC
• Deborah Kuzdal
• Janet Ruth Kwantes, LCSW
• Ngoc-Anh La, O.D.
• Elizabeth Labine
• Matthew Lacey

• All providers in Wyoming, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.