Katrina Mae Tripp, LMSW-CLINICAL

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801103186 Issued in MI

Practice address

2780 Charlevoix Rd Ste 13
Petoskey, MI 49770-8058

Phone

(231) 881-2149

NPI assigned

Sep 10, 2018

Sex

Female

Sole proprietor

Yes

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

Clinical Social Worker

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

Locations

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.

• Sisu Wellness and Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Petoskey, MI
  • NPI 1275130817
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1609359207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 ALCAN DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709622",
            "telephone_number": "231-881-2149",
            "fax_number": "855-420-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 CHARLEVOIX RD STE 13",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708058",
            "telephone_number": "231-881-2149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 Alcan Dr",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497709622",
            "country_code": "US",
            "telephone_number": "231-881-2149",
            "fax_number": "855-420-4706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 W Main St",
            "address_purpose": "LOCATION",
            "city": "Boyne City",
            "state": "MI",
            "postal_code": "497123700",
            "country_code": "US",
            "telephone_number": "231-881-2149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "KATRINA",
        "middle_name": "MAE",
        "credential": "LMSW-CLINICAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801103186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Renal Care Inc
• Joann Townsend, ACSW
• Jacob Kenneth Tracy, LPC, NCC
• Tranquil Soul Counseling LLC
• Christopher Steven Treutel, BSN
• Eryn Tschupp, BCBA
• David W Tuggle, MA, LLPC
• Kathy Tuinhoff, PA-C
• Felicia R Tulgestke, MD
• Riley J Turcott, O.D.

• Clinical Social Worker in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.