Individual provider Active NPI

Kathleen A Tait, MA, LPC, CRT

  • Professional Counselor
  • East Lansing, MI
National Provider Identifier
1699875369
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401002812 Issued in MI
Practice address
5030 Northwind Dr Ste 108
East Lansing, MI 48823-5034
Phone
(517) 336-4335
Fax
(517) 336-0101
NPI assigned
Sep 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401002812 MI Primary

Addresses

Primary practice location

5030 Northwind Dr Ste 108
East Lansing, MI 48823-5034

Mailing address

1031 E Saginaw St
Lansing, MI 48906-5519
Phone (517) 487-9642

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
6401002812MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Community Resources Professional Past Accepting new patients
New Community Resources Past Accepting new patients

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1699875369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 E SAGINAW ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489065519",
            "telephone_number": "517-487-9642",
            "fax_number": "517-487-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 NORTHWIND DR STE 108",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235034",
            "telephone_number": "517-336-4335",
            "fax_number": "517-336-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIT",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "MA, LPC, CRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401002812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.