Kimberle Lynn Kwasnick, LLMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101006523 Issued in MI

Practice address

1422 W Saginaw St
East Lansing, MI 48823-2434

Phone

(517) 243-6426

NPI assigned

Jan 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Atlantis Therapy

  • Marriage & Family Therapist
  • East Lansing, MI
  • NPI 1558964890
  NPD (past)
• Catholic Charities of Ingham, Eaton and Clinton Counties

  • General Practice Physician
  • Lansing, MI
  • NPI 1407800931
  NPD (past)

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1528575974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 ALGONQUIN WAY",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641001",
            "telephone_number": "517-243-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 W SAGINAW ST",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232434",
            "telephone_number": "517-243-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWASNICK",
        "first_name": "KIMBERLE",
        "middle_name": "LYNN",
        "credential": "LLMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anup Kurien
• Kathleen Kurta, MSW
• Richard D Kustasz, D.O.
• Michelle Rayann Kuzma, FNP-BC
• Susan Renee Kuzmanov
• Change Kwesele
• Alexander Ky
• Natalie Kyles, LLMSW
• L.E.a.P ABA Therapy, Supervision and Consultation PLLC
• Jolie Labarge

• Marriage & Family Therapist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.