Kim Renee Szajna, MA, LPC, NCC, CAADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6401010410 Issued in MI

Practice address

2 Crocker Blvd
Suite 101
Mount Clemens, MI 48043-2528

Phone

(586) 468-2266

NPI assigned

Nov 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kim Renee Peterson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Comprehensive Youth Services Inc

  • Community/Behavioral Health Agency
  • Mount Clemens, MI
  • NPI 1750400065
  NPD (past)

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1992984355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14057 MCKINNEY DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483122427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROCKER BLVD",
            "address_2": "SUITE 101",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432528",
            "telephone_number": "586-468-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZAJNA",
        "first_name": "KIM",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, NCC, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401010410",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401010410",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401010410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "PETERSON",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• SVS Vision Inc
• Theresa M Switzer
• Walter J Sworst, CRNA
• Sujata Syamal, MD, MS
• Sofiya Synychych
• Patricia Ann Szymanski, LMSW-CLINICAL
• Osman M Tahir, D.O.
• Veronica Takov, D.O.
• Oleanna Talia
• Carol Tapp

• Addiction (Substance Use Disorder) Counselor in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.