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KAITLYN HARTZOG LMSW
NPI 1144801192
Counselor - Mental Health in Ann Arbor, MI

Active since April 20, 2021PECOS Enrolled
2140 E ELLSWORTH RD, ANN ARBOR, MI 48108(734) 544-3000(734) 544-6716 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2024, Jun 3, 2021, Apr 20, 2021 (3 updates tracked since 2021).

About Kaitlyn Hartzog Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN HARTZOG LMSW (NPI 1144801192) is an individual mental health provider in Ann Arbor, Michigan, licensed in Michigan (6801110049) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144801192
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAITLYN HARTZOGCredential: LMSW
Location Address2140 E ELLSWORTH RDAnn Arbor, MI 48108-2552
Mailing Address555 Towner StYpsilanti, MI 48198-5723 · (734) 644-3000 · Fax (734) 544-6716
Phone(734) 544-3000
Fax(734) 544-6716
Sole ProprietorNo
Enumeration DateApril 20, 2021
Last NPPES UpdateJune 18, 20243 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1144801192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6801110049
2140 E ELLSWORTH RD, Ann Arbor, MI 48108
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Hartzog Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIGUEL RODRIGUES
Community Health Worker
2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
Washtenaw County (734) 544-3050
CHRISTINA BLACK
Community Health Worker
2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
Washtenaw County (734) 544-3050
MYA M WATTS
Social Worker
2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
Washtenaw County (734) 544-3050
LAURA C GOINS SWT
Social Worker
2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
Washtenaw County (734) 222-3424
SUSAN ELIZABETH THOMPSON LLMSW
Social Worker
2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
Washtenaw County (734) 496-0378
DR. ELLEN SMITH PERRICCI MD
Psychiatry & Neurology (Psychiatry)
2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
Washtenaw County (734) 477-7417
MR. DANIEL ANTONY ING MA,LLP,CCHP
Psychologist
2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
Washtenaw County (734) 222-3581
MR. CHRISTOPHER J SINGER LLMSW
Social Worker (Clinical)
2140 E ELLSWORTH RD
ANN ARBOR, MI 48108
Washtenaw County (734) 544-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Hartzog's NPI number?

The NPI number for Kaitlyn Hartzog is 1144801192. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Kaitlyn Hartzog located?

Kaitlyn Hartzog practices at 2140 E Ellsworth Rd, Ann Arbor, MI 48108. The listed phone number is (734) 544-3000.

What is Kaitlyn Hartzog's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kaitlyn Hartzog enrolled in Medicare?

Yes. Kaitlyn Hartzog is registered in the Medicare PECOS enrollment system.

What insurance does Kaitlyn Hartzog accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kaitlyn Hartzog as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaitlyn Hartzog was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.