Individual provider Active NPI

Nicholas Miguel Fielding Kogut, LMSW, CAADC

  • Clinical Social Worker
  • Howell, MI
National Provider Identifier
1770077539
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801108569 Issued in MI
Practice address
2280 E Grand River Ave
Howell, MI 48843-8503
Phone
(517) 546-4126
NPI assigned
Jun 15, 2018
Last updated
Apr 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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 C-03817 MI
Clinical Social Worker 1041C0700X 6801108569 MI Primary

Addresses

Primary practice location

2280 E Grand River Ave
Howell, MI 48843-8503

Mailing address

2280 E Grand River Ave
Howell, MI 48843-8503
Phone (517) 546-4126

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
I20220502000339 MI Practitioner - Clinical Social Worker 7810384369 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-03817MIMDAddiction (Substance Use Disorder) Counselor
6801108569MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association CurrentSince Sep 1, 2025 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Victory Clinical Services Lansing PastSince Mar 2, 2015 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

Organizations & group practices 4

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1770077539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438503",
            "telephone_number": "517-546-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438503",
            "telephone_number": "517-546-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGUT",
        "first_name": "NICHOLAS",
        "middle_name": "MIGUEL FIELDING",
        "name_prefix": "Mr.",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-03817",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.