Healthcare Provider Details

I. General information

NPI: 1447216775
Provider Name (Legal Business Name): KRISTIN FOX-KLINGENSMITH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTIN FOX LPC

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1361 E MERRIBE ST
STURGIS MI
49091
US

IV. Provider business mailing address

1361 E MERRIBE ST
STURGIS MI
49091-3301
US

V. Phone/Fax

Practice location:
  • Phone: 517-300-7859
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401007711
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401007711
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401007711
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC 0011872
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: