Individual provider Active NPI

Kathleen Ryan, LMFT

  • Addiction (Substance Use Disorder) Counselor
  • Flint, MI
National Provider Identifier
1811379340
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
6211 Taylor Dr
Flint, MI 48507-4665
Phone
(810) 237-0799
NPI assigned
Jun 20, 2015
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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 NU Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

6211 Taylor Dr
Flint, MI 48507-4665

Mailing address

4313 Beechwood Ave
Burton, MI 48509-1101
Phone (810) 743-8316

Other practice location 1

901 Chippewa St
Catholic Charities of Shiawassee and Genesee Counties
Flint, MI 48503-1552
Phone (810) 232-9950

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
I20240201003188 MI Practitioner - Marriage and Family Therapist 1557714953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consumer Services, Inc.Group PAC ID 0840214789, 10 clinicians

Practice addresses (Care Compare)

6211 Taylor Dr
Flint, MI 48507-4665
Phone (810) 237-0799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Consumer Services, Inc. Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients
Consumer Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

6211 Taylor Dr
Flint, MI 48507
Phone (810) 230-1318

525 Okemos St
Mason, MI 48854
Phone (517) 833-8100

632 N Shiawassee St
Owosso, MI 48867
Phone (989) 723-0330

Organizations & group practices 3

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": "1434758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1811379340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 BEECHWOOD AVE",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091101",
            "telephone_number": "810-743-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 TAYLOR DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485074665",
            "telephone_number": "810-237-0799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Chippewa St",
            "address_2": "Catholic Charities of Shiawassee and Genesee Counties",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485031552",
            "country_code": "US",
            "telephone_number": "810-232-9950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KATHLEEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-20",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.