Active NPI
Kristina M Princinsky, LPC
- Mental Health Counselor
- Brighton, MI
National Provider Identifier
1629514831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401016366
- Practice address
- 762 W Grand River Ave
Brighton, MI 48116-2392 - Phone
- (810) 215-0303
- Fax
- (248) 994-8090
- NPI assigned
- Jan 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301016903 | MI | |
| Mental Health Counselor | 101YM0800X | 6401016366 | MI | Primary |
Addresses
Primary practice location
762 W Grand River Ave
Brighton, MI 48116-2392
Mailing address
762 W Grand River Ave
Brighton, MI 48116-2392
Phone (810) 215-0303
Other practice location 1
13305 Reeck Ct
Southgate, MI 48195-3197
Phone (734) 225-2090
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401016366 | MI | MD | Mental Health Counselor |
| 6301016903 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comeback Collaborations, LLC | Current | Accepting new patients | |
| Ismail B. Sendi, MD, PC | Past | Accepting new patients |
Locations
762 W Grand River Ave
Brighton, MI 48116
Phone (810) 215-0303
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Brighton, MI
- NPI 1952932774
-
dba New Oakland Child-Adolescent and Family Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clinton Township, MI
- NPI 1932370988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1629514831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "762 W GRAND RIVER AVE",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481162392",
"telephone_number": "810-215-0303",
"fax_number": "248-994-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "762 W GRAND RIVER AVE",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481162392",
"telephone_number": "810-215-0303",
"fax_number": "248-994-8090"
}
],
"practiceLocations": [
{
"address_1": "13305 Reeck Ct",
"address_purpose": "LOCATION",
"city": "Southgate",
"state": "MI",
"postal_code": "481953197",
"country_code": "US",
"telephone_number": "734-225-2090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRINCINSKY",
"first_name": "KRISTINA",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-11",
"last_updated": "2021-03-22",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301016903",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401016366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MI
- Premier Medical Care
- Emily K Preston Rahim, LMSW, CTTS-M
- Andrew S Price, CTRS
- Haley Price
- Jackie M Price, MSW
- Priya K. Rao, LLC (Neurobloom Psychological Clinic)
- Pro Homecare LLC
- Pro Motion Chiropractic LLC
- Pro-Motion Physical Therapy, PLLC
- Professional Dental Alliance of Brighton, PLLC (Woodland Lake Family Dental PC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.