Active NPI
Kristie Thebo
- Social Worker
- Norton Shores, MI
National Provider Identifier
1801302971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801121748
- Practice address
- 493 W Norton Ave Ste C
Norton Shores, MI 49444-3748 - Phone
- (616) 319-4389
- NPI assigned
- Dec 27, 2017
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801121748 | MI | Primary |
Addresses
Primary practice location
493 W Norton Ave Ste C
Norton Shores, MI 49444-3748
Mailing address
493 W Norton Ave Ste C
Norton Shores, MI 49444-3748
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801121748 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresh Coast Counseling | 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 and National Provider Directory roles.
-
- Clinical Social Worker
- Norton Shores, MI
- NPI 1790316867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1801302971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "493 W NORTON AVE STE C",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494443748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "493 W NORTON AVE STE C",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494443748",
"telephone_number": "616-319-4389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEBO",
"first_name": "KRISTIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-27",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801121748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norton Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.