Active NPI
Kristine Schade, CAADC-D
- Addiction (Substance Use Disorder) Counselor
- Berkley, MI
National Provider Identifier
1740601632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 2710 W 12 Mile Rd
Berkley, MI 48072-1630 - Phone
- (248) 543-1090
- Fax
- (248) 543-0017
- NPI assigned
- Dec 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
2710 W 12 Mile Rd
Berkley, MI 48072-1630
Mailing address
2710 W 12 Mile Rd
Berkley, MI 48072-1630
Phone (248) 543-1090
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19800 Hall Rd
Clinton Township, MI 48038-5318
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Consultants Incorporated | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clinton TWP, MI
- NPI 1942532197
-
- Adult Mental Health Clinic/Center
- Berkley, MI
- NPI 1407923501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1740601632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 W 12 MILE RD",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721630",
"telephone_number": "248-543-1090",
"fax_number": "248-543-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 W 12 MILE RD",
"city": "BERKLEY",
"state": "MI",
"postal_code": "480721630",
"telephone_number": "248-543-1090",
"fax_number": "248-543-0017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHADE",
"first_name": "KRISTINE",
"name_prefix": "Ms.",
"credential": "CAADC-D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-19",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.