Individual provider Active NPI

Kayla Renee Kulcharyk, LMSW

  • Clinical Social Worker
  • Marquette, MI
National Provider Identifier
1649821992
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1209 N 3Rd St
Marquette, MI 49855-3009
Phone
(906) 273-0964
Fax
(906) 273-2005
NPI assigned
Sep 26, 2019
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1209 N 3Rd St
Marquette, MI 49855-3009

Mailing address

1209 N 3Rd St
Marquette, MI 49855-3009
Phone (906) 273-0964

Other names 1

  • Kayla Renee Bigelow Former name

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
I20250222000258 MI Practitioner - Clinical Social Worker 7214457134 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Suunta Integrative Health Clinical CurrentSince Feb 14, 2025 Accepting new patients

Locations

97 S 4th St
Ste C
Ishpeming, MI 49849
Phone 9062289699 ext. 1001

1209 N 3rd St
Marquette, MI 49855
Phone (906) 273-0964

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": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1649821992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 N 3RD ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553009",
            "telephone_number": "906-273-0964",
            "fax_number": "906-273-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N 3RD ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553009",
            "telephone_number": "906-273-0964",
            "fax_number": "906-273-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULCHARYK",
        "first_name": "KAYLA",
        "middle_name": "RENEE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "BIGELOW",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.