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ALICIA KITSUSE LLC
NPI 1629843057
Counselor - Professional in South Lyon, MI

Active since November 15, 2023PECOS EnrolledAccepts Medicare Assignment
127 N LAFAYETTE ST, SOUTH LYON, MI 48178(248) 573-7417 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 3, 2025, Nov 15, 2023 (2 updates tracked since 2023).

About Alicia Kitsuse Llc NPPES

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

ALICIA KITSUSE LLC (NPI 1629843057) is an individual professional provider in South Lyon, Michigan, licensed in Michigan (6401225803) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ann Arbor, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629843057
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALICIA KITSUSECredential: LLC
Location Address127 N LAFAYETTE STSouth Lyon, MI 48178-1210
Mailing Address127 N Lafayette StSouth Lyon, MI 48178-1210 · (248) 573-7417
Phone(248) 573-7417
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 15, 2023
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1629843057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401225803
127 N LAFAYETTE ST, South Lyon, MI 48178
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Secondary Practice Location 1

Location 12200 Green Rd Ste NAnn Arbor, MI 48105-2948 · Phone (248) 573-7417

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alicia Kitsuse Llc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193219855
PECOS Enrollment IDI20251210001610
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.

ISAAC JANDA ORR LLPC
Counselor (Professional)
127 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 573-7417
ERIDIAN ALEXANDER RYAN DEMPSEY LLMSW
Social Worker (Clinical)
127 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (517) 428-1676
MS. MELISSA JODOIN LMSW
Social Worker (Clinical)
127 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 573-7417
NICOLE A TALAGA LMSW
Social Worker (Clinical)
127 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 573-7417
MRS. KATHRYN JOANNE BROWN LMSW
Counselor (Addiction (Substance Use Disorder))
127 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 573-7417
MRS. NICOLE MARIE COLONE LMSW
Social Worker (Clinical)
127 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 807-1092
JENNIFER ZOTT LMSW
Social Worker (Clinical)
127 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 573-7417
MRS. ALLISON STODDARD LMSW
Social Worker (Clinical)
127 N LAFAYETTE ST
SOUTH LYON, MI 48178
Oakland County (248) 573-7417

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 Alicia Kitsuse's NPI number?

The NPI number for Alicia Kitsuse is 1629843057. It was assigned to this individual provider in the NPPES registry on November 15, 2023.

Where is Alicia Kitsuse located?

Alicia Kitsuse practices at 127 N Lafayette St, South Lyon, MI 48178. The listed phone number is (248) 573-7417.

What is Alicia Kitsuse's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Alicia Kitsuse enrolled in Medicare?

Yes. Alicia Kitsuse is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alicia Kitsuse accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and McLaren Health Plan Community list Alicia Kitsuse 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 Alicia Kitsuse was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.