KRISTINE KAY COFFEE (MA-LPCC, CCJP) – Professional Counselor, NPI 1164080412

KRISTINE KAY COFFEE (MA-LPCC, CCJP) is a healthcare provider. based in Muskegon, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA-LPCC, CCJP. They hold a License No. 6401017227 (MI). The NPI Number for KRISTINE KAY COFFEE (MA-LPCC, CCJP) is 1164080412

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE KAY COFFEE (MA-LPCC, CCJP)
NPI
1164080412
Phone
(231) 571-7042
Address
1571 JOSLYN RD
Enumeration Date
2 June 2019
Last Update Date
2 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2317241111
Graduation Year
2018 (8 years ago)
PAC ID
7416391982
Group Practice PAC ID
2264325448
Professional Enrollment ID
I20240223000577
Address ID
MI494423466MU376XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

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Provider Addresses for KRISTINE KAY COFFEE (MA-LPCC, CCJP)

  • 1571, Joslyn Road, Muskegon Township, Muskegon County, Michigan, 49445, United States

    MUSKEGON, MI 494452635

    Phone: (231) 571-7042

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240223000577IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49445)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264325448View full group profile
NameSpecialtyState
Mental Health CounselorWA
P S Y C H I A T R YMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Occupational Therapist In Private PracticeMI
Clinical Social WorkerMI
P S Y C H I A T R YMI
Mental Health CounselorMI
Clinical Social WorkerMI
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

Where can patients find KRISTINE KAY COFFEE (MA-LPCC, CCJP)'s NPI?
You can confirm KRISTINE KAY COFFEE (MA-LPCC, CCJP) with NPI 1164080412; it appears in the national provider directory.
Is KRISTINE KAY COFFEE (MA-LPCC, CCJP)'s NPI currently valid?
The extract we use shows KRISTINE KAY COFFEE (MA-LPCC, CCJP) as active.
What kind of provider is KRISTINE KAY COFFEE (MA-LPCC, CCJP)?
The page reflects Professional Counselor for KRISTINE KAY COFFEE (MA-LPCC, CCJP). Clinical services aligned with this taxonomy classification.
What location shows for KRISTINE KAY COFFEE (MA-LPCC, CCJP)?
We surface Muskegon, Michigan for KRISTINE KAY COFFEE (MA-LPCC, CCJP) based on available NPPES addresses.
How can I contact KRISTINE KAY COFFEE (MA-LPCC, CCJP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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