Individual provider Active NPI

Teresa Wilson Rittinger, LLMFT

  • Marriage & Family Therapist
  • South Lyon, MI
National Provider Identifier
1609494665
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4151000537 Issued in MI
Practice address
28900 Pontiac TRL
South Lyon, MI 48178-9241
Phone
(248) 560-7507
NPI assigned
Jul 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4151000537 MI Primary

Addresses

Primary practice location

28900 Pontiac TRL
South Lyon, MI 48178-9241

Mailing address

2869 Dalton Ave
Ann Arbor, MI 48108-1227
Phone (734) 478-6079

Other practice location 1

2869 Dalton Ave
Ann Arbor, MI 48108-1227
Phone (734) 478-6079

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
I20251122000512 MI Practitioner - Marriage and Family Therapist 1355833898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2869 Dalton Ave
Ann Arbor, MI 48108-1227

PO Box
Suite 186859
Hamden, CT 06518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4151000537MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherds Flock Counseling LLC Marriage & Family Therapist CurrentSince Jul 12, 2020 Accepting new patients
Crossroads Counseling, PLLC CurrentSince Sep 19, 2025 Accepting new patients

Locations

3830 Packard St
Ste 160
Ann Arbor, MI 48108
Phone (734) 528-9703

28900 Pontiac Trl
South Lyon, MI 48178
Phone (248) 560-7507

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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1609494665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2869 DALTON AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081227",
            "telephone_number": "734-478-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28900 PONTIAC TRL",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789241",
            "telephone_number": "248-560-7507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2869 Dalton Ave",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481081227",
            "country_code": "US",
            "telephone_number": "734-478-6079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RITTINGER",
        "first_name": "TERESA",
        "middle_name": "WILSON",
        "name_prefix": "Mrs.",
        "credential": "LLMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4151000537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

Verify at the official NPI Registry.