Individual provider Active NPI

John R Lindt, MA, MDIV, LMFT

  • Mental Health Counselor
  • Menominee, MI
National Provider Identifier
1669555371
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4101006223 Issued in MI
Practice address
2012 10TH St
Menominee, MI 49858-2194
Phone
(906) 863-5646
Fax
(906) 863-1078
NPI assigned
Oct 24, 2006
Last updated
Feb 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4101006223 MI Primary
Mental Health Counselor 101YM0800X 628 124 WI

Addresses

Primary practice location

2012 10TH St
Menominee, MI 49858-2194

Mailing address

2012 10TH St
Menominee, MI 49858-2194
Phone (906) 863-5646

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4101006223MIMDMental Health Counselor
628 124WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Seasons Counseling Center Past Accepting new patients

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1669555371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 10TH ST",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498582194",
            "telephone_number": "906-863-5646",
            "fax_number": "906-863-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 10TH ST",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498582194",
            "telephone_number": "906-863-5646",
            "fax_number": "906-863-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDT",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "MA, MDIV, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "4101006223",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "628 124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menominee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.