Individual provider Active NPI

Justice Nicole Spearritt, LMSW

  • Addiction (Substance Use Disorder) Counselor
  • Portage, MI
National Provider Identifier
1811478639
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
6070 Newport Rd
Portage, MI 49002-9234
Phone
(269) 409-3000
Fax
(269) 366-4004
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

6070 Newport Rd
Portage, MI 49002-9234

Mailing address

6070 Newport Rd
Portage, MI 49002-9234
Phone (269) 409-3000

Other names 1

  • Ms. Justice Nicole Nemitz Former name

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
I20210608001442 MI Practitioner - Clinical Social Worker 8921408212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kathy Piecuch Counseling ServicesGroup PAC ID 6002359569, 7 clinicians

Practice addresses (Care Compare)

6070 Newport Rd
Portage, MI 49002-9234
Phone (269) 409-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kathy Piecuch Counseling Services Addiction (Substance Use Disorder) CurrentSince Jul 1, 2024 Accepting new patients
Teletherapy Group, LLC CurrentSince May 25, 2023 Accepting new patients

Locations

5380 Holiday Ter
Ste 28
Kalamazoo, MI 49009
Phone (269) 303-3289

6120 Stadium Dr
Ste A
Kalamazoo, MI 49009
Phone (269) 366-0650

6070 Newport Rd
Portage, MI 49002
Phone (269) 409-3000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1811478639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 NEWPORT RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490029234",
            "telephone_number": "269-409-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 NEWPORT RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490029234",
            "telephone_number": "269-409-3000",
            "fax_number": "269-366-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARRITT",
        "first_name": "JUSTICE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTICE",
            "last_name": "NEMITZ",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.