Active NPI
Kristina Raleigh
- Professional Counselor
- Otsego, MI
National Provider Identifier
1912366048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401015288
- Practice address
- 115 W Allegan St
Otsego, MI 49078-1115 - Phone
- (269) 692-2100
- Fax
- (269) 692-2101
- NPI assigned
- Feb 17, 2016
- Last updated
- Feb 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401015288 | MI | Primary |
Addresses
Primary practice location
115 W Allegan St
Otsego, MI 49078-1115
Mailing address
432 Cynthia
Galesburg, MI 49053-9511
Phone (248) 760-9846
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401015288 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Change & Growth PLC | Past | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1912366048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 CYNTHIA",
"city": "GALESBURG",
"state": "MI",
"postal_code": "490539511",
"telephone_number": "248-760-9846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W ALLEGAN ST",
"city": "OTSEGO",
"state": "MI",
"postal_code": "490781115",
"telephone_number": "269-692-2100",
"fax_number": "269-692-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALEIGH",
"first_name": "KRISTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-17",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401015288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Otsego, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.