Individual provider Active NPI

Katelyn Hose

  • Professional Counselor
  • Lansing, MI
National Provider Identifier
1609339431
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401016975 Issued in MI
Practice address
4902 S Cedar St
Lansing, MI 48910-5474
Phone
(517) 394-7867
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401016975 MI Primary

Addresses

Primary practice location

4902 S Cedar St
Lansing, MI 48910-5474

Mailing address

4902 S Cedar St
Lansing, MI 48910-5474
Phone (517) 394-7867

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
I20260312001811 MI Practitioner - Mental Health Counselor 2860975323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

812 E Jolly Rd
Lansing, MI 48910-6818
Phone (517) 346-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401016975MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Clinical Services Lansing CurrentSince Nov 1, 2020 Accepting new patients
Community Mental Health Authority of Clinton Eaton Ingham Counties CurrentSince Dec 27, 2025 Accepting new patients

Locations

812 E Jolly Rd
Lansing, MI 48910
Phone (517) 237-7162

4902 S Cedar St
Lansing, MI 48910
Phone (517) 394-7867

812 E Jolly Rd
Ste 311
Lansing, MI 48910
Phone (517) 237-7350

5303 S Cedar St
Lansing, MI 48911
Phone (517) 887-4302

Organizations & group practices 2

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1609339431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489105474",
            "telephone_number": "517-394-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489105474",
            "telephone_number": "517-394-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSE",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.