Individual provider Active NPI

Debra Marie Kuszmaul, MA, LPC

  • Counselor
  • Shelby Township, MI
National Provider Identifier
1831138718
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401009324 Issued in MI
Practice address
13001 23 Mile Rd Ste 103
Shelby Township, MI 48315-2767
Phone
(586) 295-9704
NPI assigned
Jun 6, 2006
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401009324 MI Primary

Addresses

Primary practice location

13001 23 Mile Rd Ste 103
Shelby Township, MI 48315-2767

Mailing address

27550 School Section Rd
Richmond, MI 48062-3833
Phone (586) 295-9704

Other practice location 1

3950 S Rochester Rd
#1400
Rochester Hills, MI 48307-5160
Phone (248) 844-6234

Other names 1

  • Debra Marie Mitchell Other 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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401009324MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. PastSince Nov 13, 2020 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, 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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1831138718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27550 SCHOOL SECTION RD",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480623833",
            "telephone_number": "586-295-9704",
            "fax_number": "248-605-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 23 MILE RD STE 103",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152767",
            "telephone_number": "586-295-9704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 S Rochester Rd",
            "address_2": "#1400",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483075160",
            "country_code": "US",
            "telephone_number": "248-844-6234",
            "fax_number": "248-844-6237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSZMAUL",
        "first_name": "DEBRA",
        "middle_name": "MARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401009324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "MITCHELL",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.