Individual provider Active NPI

Kirstin Marie Hockaday

  • Social Worker
  • Ann Arbor, MI
National Provider Identifier
1558107193
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851117757 Issued in MI
Practice address
2200 Green Rd Ste N
Ann Arbor, MI 48105-2948
Phone
(248) 573-7417
NPI assigned
Jul 3, 2024
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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 6851117757 MI Primary

Addresses

Primary practice location

2200 Green Rd Ste N
Ann Arbor, MI 48105-2948

Mailing address

4830 Washtenaw Ave Apt B3
Ann Arbor, MI 48108-1481
Phone (419) 297-3895

Other practice location 1

4830 Washtenaw Ave Apt B3
Ann Arbor, MI 48108-1481
Phone (419) 297-3895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851117757MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lyon Counseling Center CurrentSince Feb 16, 2020 Accepting new patients

Locations

2200 Green Rd
Ste N
Ann Arbor, MI 48105
Phone (248) 573-7417

127 N Lafayette St
South Lyon, MI 48178
Phone (248) 573-7417

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": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1558107193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 WASHTENAW AVE APT B3",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081481",
            "telephone_number": "419-297-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GREEN RD STE N",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052948",
            "telephone_number": "248-573-7417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4830 Washtenaw Ave Apt B3",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481081481",
            "country_code": "US",
            "telephone_number": "419-297-3895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOCKADAY",
        "first_name": "KIRSTIN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851117757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.