Individual provider Active NPI

Kristen Gennety

  • Clinical Social Worker
  • East Lansing, MI
National Provider Identifier
1871117002
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801118660 Issued in MI
Practice address
601 Abbot Rd Ste 103
East Lansing, MI 48823-3366
Phone
(517) 618-1216
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801118660 MI Primary

Addresses

Primary practice location

601 Abbot Rd Ste 103
East Lansing, MI 48823-3366

Mailing address

500 W Lake Lansing Rd Apt C13
East Lansing, MI 48823-1481

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristeng@mmrsinc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Michigan Recovery Services, Inc. PastSince Jun 1, 2020 Accepting new patients
Samantha Rios LMSW LLC PastSince Apr 1, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1871117002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W LAKE LANSING RD APT C13",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ABBOT RD STE 103",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233366",
            "telephone_number": "517-618-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNETY",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801118660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristeng@mmrsinc.org",
            "affiliation": "N",
            "address_1": "913 W Holmes Rd Ste 200",
            "city": "Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "489100411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.