Individual provider Active NPI

Kyle Sammons, LLMSW

  • Clinical Social Worker
  • Mt Pleasant, MI
National Provider Identifier
1508547159
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801121434 Issued in MI
Practice address
210 Court St Ste B
Mount Pleasant, MI 48858-2358
Phone
(989) 572-0246
Fax
(989) 355-0719
NPI assigned
Jul 27, 2023
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6851117079 MI
Clinical Social Worker 1041C0700X 6801121434 MI Primary

Addresses

Primary practice location

210 Court St Ste B
Mount Pleasant, MI 48858-2358

Mailing address

210 Court St Ste B
Mount Pleasant, MI 48858-2358
Phone (989) 572-0246

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
I20260225003609 MI Practitioner - Clinical Social Worker 2365923562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

210 Court St
Suite B
Mount Pleasant, MI 48858-2358
Phone (989) 572-0246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851117079MIMDSocial Worker
6801121434MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Pleasant Counseling, PLLC Clinical CurrentSince Jan 5, 2026 Accepting new patients

Locations

210 Court St
Ste B
Mt Pleasant, MI 48858
Phone (989) 244-1663

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.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1508547159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COURT ST STE B",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582358",
            "telephone_number": "989-572-0246",
            "fax_number": "989-355-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 COURT ST STE B",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582358",
            "telephone_number": "989-572-0246",
            "fax_number": "989-355-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMONS",
        "first_name": "KYLE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-27",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851117079",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.