Kristin J Cousineau, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

KC009141 Issued in MI

Practice address

14550 King Rd
Riverview, MI 48193-7963

Phone

(734) 479-1880

Fax

(734) 479-4810

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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.

• Cousineau Chiropractic Life Center P.C.

  • Chiropractor
  • Riverview, MI
  • NPI 1891912291

  MI

  Medicare reassignment Care Compare group

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cousineau Chiropractic Life Center P.C. 2 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2012.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1689609018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14550 KING RD",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937963",
            "telephone_number": "734-479-1880",
            "fax_number": "734-479-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 KING RD",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937963",
            "telephone_number": "734-479-1880",
            "fax_number": "734-479-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSINEAU",
        "first_name": "KRISTIN",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "KC009141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "9506227980",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WRITE PAD OCN CERTIFICATION",
            "identifier": "30000001T2G0EAK",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luz Colbert
• Jodie Marie Cole, MSN, RN, AGCNS-BC
• Michael Joseph Concessi, D.C.
• Cosmetic Dermatology and Vein Centers of Downriver PC
• Cousineau Chiropractic Life Center P.C.
• Nicole R Cousineau, DC
• Felicia Patreece Covington, LPN
• Nora S Creighton, FNP-BC
• Megan Ann Crim
• Sergio Cuadros, D.D.S.

• All providers in Riverview, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.