Individual provider Active NPI

Kirsti Jane Reeve, LPC

  • Counselor
  • Waterford, MI
National Provider Identifier
1962739565
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401011612 Issued in MI
Practice address
1370 N Oakland Blvd
Suite 105
Waterford, MI 48327-4525
Phone
(248) 666-8870
Fax
(248) 666-5023
NPI assigned
Nov 3, 2009
Last updated
May 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401011612 MI Primary

Addresses

Primary practice location

1370 N Oakland Blvd
Suite 105
Waterford, MI 48327-4525

Mailing address

3822 Elmhurst Ave
Royal Oak, MI 48073-1823
Phone (248) 549-9125

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
I20241209002871 MI Practitioner - Mental Health Counselor 4880120278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephanie Williams, PHD, LP, PLLCGroup PAC ID 8527191535, 5 clinicians

Practice addresses (Care Compare)

901 Livernois St
Ferndale, MI 48220-2319
Phone (248) 996-7451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Williams, PHD, LP, PLLC CurrentSince Sep 19, 2024 Accepting new patients
Catholic Charities of Southeast Michigan Counselor PastSince Mar 6, 2018 Accepting new patients
Nicole Reynolds PSYD LLC Past Accepting new patients

Locations

901 Livernois St
Ferndale, MI 48220
Phone (248) 259-1991

39319 Plymouth Rd
Ste 2
Livonia, MI 48150
Phone (248) 259-1991

Organizations & group practices 3

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": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1962739565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 ELMHURST AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731823",
            "telephone_number": "248-549-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 N OAKLAND BLVD",
            "address_2": "SUITE 105",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483274525",
            "telephone_number": "248-666-8870",
            "fax_number": "248-666-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVE",
        "first_name": "KIRSTI",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401011612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.