Individual provider Active NPI

Kathleen Marie-Sohn Kudzia, COUNSELOR PSYCHOLOGI

  • Professional Counselor
  • Chesterfield, MI
National Provider Identifier
1821077827
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401008019 Issued in MI
Practice address
46360 Gratiot
Chesterfield, MI 48051
Phone
(586) 948-0206
Fax
(586) 948-0213
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401008019 MI Primary
Psychologist 103T00000X 6301011792 MI

Addresses

Primary practice location

46360 Gratiot
Chesterfield, MI 48051

Mailing address

46920 Riverwoods Drive
Macomb, MI 48044
Phone (586) 915-1872

Other names 1

  • Kathleen Marie Sohn Former name

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

LicenseStateTypeSpecialty
6401008019MIMDProfessional Counselor
6301011792MIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1821077827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46920 RIVERWOODS DRIVE",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "48044",
            "telephone_number": "586-915-1872",
            "fax_number": "586-412-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46360 GRATIOT",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "48051",
            "telephone_number": "586-948-0206",
            "fax_number": "586-948-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDZIA",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE-SOHN",
        "name_prefix": "Ms.",
        "credential": "COUNSELOR PSYCHOLOGI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008019",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "SOHN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.