Kintsugi Wellness Counseling Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KINTSUGI WELLNESS COUNSELING INC

Practice address

1106 N Cedar St Ste 200B
Lansing, MI 48906-5334

Phone

(517) 819-2527

Fax

(517) 252-9409

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Carol Lynn Dixon, LMSWNPI 1144286600

Title

Ceo

Phone

(517) 819-2527

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol L Dixon, CSW

  • Clinical Social Worker
  • Lansing, MI
  • NPI 1144286600
  Medicare reassignment NPD Authorized official
• Jennifer Aileen Kreft, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1215477716
  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1952927923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843 E GRAND RIVER AVE STE 239",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236741",
            "telephone_number": "517-819-2527",
            "fax_number": "517-252-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N CEDAR ST STE 200B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489065334",
            "telephone_number": "517-819-2527",
            "fax_number": "517-252-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINTSUGI WELLNESS COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "517-819-2527",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrence King II
• Kingdom Counseling Services LLC
• Kingdom Minds
• Mary Beth Kinney, CRNA
• Nancy Kinoti
• Alaina Mar'Ee Kioski-Stanley
• Kip L Kaercher DO PLLC
• Sylvia Lynne Kirgis, APRN-BC
• Karen Lee Kirk, LMSW
• Khristine Marie Kirkbride, DPT, OMPT

• Clinical Social Worker in Lansing, MI
• Providers in Lansing, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.