Individual provider Active NPI

Kate Frikken, MA, LPC, QIDP

  • Counselor
  • Roseville, MI
National Provider Identifier
1952749285
Registry record updated Jul 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401012358 Issued in MI
Practice address
27388 Belanger St
Roseville, MI 48066-2749
Phone
(586) 808-5283
NPI assigned
Jun 9, 2013
Last updated
Jul 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401012358 MI Primary

Addresses

Primary practice location

27388 Belanger St
Roseville, MI 48066-2749

Mailing address

27388 Belanger St
Roseville, MI 48066-2749
Phone (586) 808-5283

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250325000127 MI Practitioner - Mental Health Counselor 2163945775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Oakland Univ, William Beaumont School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MacombGroup PAC ID 4880581404, 81 clinicians

Practice addresses (Care Compare)

19800 Hall Rd
Clinton Township, MI 48038-5318
Phone (586) 469-5794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401012358MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Macomb CurrentSince Dec 28, 2024 Accepting new patients
County of Macomb CurrentSince Dec 28, 2024 Accepting new patients

Locations

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

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, 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": "1370736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1952749285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27388 BELANGER ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662749",
            "telephone_number": "586-808-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27388 BELANGER ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662749",
            "telephone_number": "586-808-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIKKEN",
        "first_name": "KATE",
        "credential": "MA, LPC, QIDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-09",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401012358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.