Vicki L Konczak-Miltz, LPC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6401014425 Issued in MI

Practice address

1185 US Highway 23 N
Alpena, MI 49707-8004

Phone

(989) 356-4049

NPI assigned

Aug 28, 2014

Last updated

Mar 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Catholic Human Services, IncGroup PAC ID 4880586494, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catholic Human Services, Inc

  • Mental Health Counselor
  • Traverse City, MI
  • NPI 1497716047

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Advance Counseling Services, LLC

  • Multi-Specialty Clinic/Center
  • Fenton, MI
  • NPI 1669087854
  Medicare reassignment NPD
• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Hillman, MI
  • NPI 1629107552
  Medicare reassignment NPD
• Catholic Human Services Inc.

  • Community/Behavioral Health Agency
  • Gaylord, MI
  • NPI 1508060682
  NPD
• Thunder Bay Community Health Service, Inc

  • Federally Qualified Health Center (FQHC)
  • Mio, MI
  • NPI 1750751392
  NPD
• Catholic Charities of Michigan Incorporated

  • Community/Behavioral Health Agency
  • Adrian, MI
  • NPI 1528117744
  NPD (past)

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1891195772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 US HIGHWAY 23 N",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497078004",
            "telephone_number": "989-356-4049",
            "fax_number": "989-358-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 US HIGHWAY 23 N",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497078004",
            "telephone_number": "989-356-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONCZAK-MILTZ",
        "first_name": "VICKI",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401014425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vicki.konczakmiltz.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1185 US Highway 23 N",
            "city": "Alpena",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497078004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lexxis Klee, RN
• Nicholas Klein, BSW
• Lynn Knapp, RN
• Michelle K Knoch, LLMSW
• Gary L Knudson
• Ellie Blair Konieczny, BA
• Hayley Kortman
• Steven Michael Kortman, OTRL
• Eric Koss, OTR/L
• Vicki Kottong, M.D.

• Addiction (Substance Use Disorder) Counselor in Alpena, MI
• Providers in Alpena, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.