Individual provider Active NPI

Kristi Mae Farnstrom

  • Social Worker
  • Kalamazoo, MI
National Provider Identifier
1992235782
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801078455 Issued in MI
Practice address
307 Pratt Rd
Kalamazoo, MI 49001-5318
Phone
(269) 312-9244
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801078455 MI Primary

Addresses

Primary practice location

307 Pratt Rd
Kalamazoo, MI 49001-5318

Mailing address

PO Box 10
Mason, MI 48854-0010
Phone (269) 312-9244

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
I20170726001489 MI Practitioner - Clinical Social Worker 8325318223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Christian Counseling PCGroup PAC ID 1052765674, 9 clinicians

Practice addresses (Care Compare)

1090 N 10TH St
Suite 110
Kalamazoo, MI 49009-5733

2425 S 11TH St
Suite a
Kalamazoo, MI 49009-2113
Phone (269) 375-4363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801078455MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Christian Counseling PC CurrentSince Aug 19, 2023 Accepting new patients

Locations

1090 N 10th St
Ste 110
Kalamazoo, MI 49009
Phone (269) 375-4363

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.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1992235782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010",
            "telephone_number": "269-312-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 PRATT RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490015318",
            "telephone_number": "269-312-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNSTROM",
        "first_name": "KRISTI",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801078455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.