Kathryn Elizabeth Whitlock, ATR-BC, LPC, CCTP-II

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6451019659 Issued in MI

Practice address

14411 Kingston St
Oak Park, MI 48237-1141

Phone

(248) 736-3347

NPI assigned

Sep 13, 2021

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• New Branch Art Therapy Services LLC

  • Community/Behavioral Health Agency
  • Oak Park, MI
  • NPI 1245050020
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1962171835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 KINGSTON ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371141",
            "telephone_number": "248-736-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 KINGSTON ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371141",
            "telephone_number": "248-736-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "ATR-BC, LPC, CCTP-II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451019659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice West, NP
• Mary Beth Western
• Kenneth White
• Patricia White, LMSW
• Stephen Wayne White, R.N.
• Ariel Wilcher
• William L. Jordan MD PC
• Williams Counseling
• Arthur E Williams II, D.D.S.
• Angel Victoria Williams

• Professional Counselor in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.