CARLY SUTKIEWICZ MA, LPC, NCC
NPI 1992486104
Counselor - Professional in Grand Rapids, MI
About Carly Sutkiewicz Ma, Lpc, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY SUTKIEWICZ MA, LPC, NCC (NPI 1992486104) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401225892) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carly Sutkiewicz Ma, Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carly Sutkiewicz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49506
- Reassigned Medicare billing, Michigan enrollment
- 287 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Carly Sutkiewicz's NPI number?
The NPI number for Carly Sutkiewicz is 1992486104. It was assigned to this individual provider in the NPPES registry on July 31, 2023.
Where is Carly Sutkiewicz located?
Carly Sutkiewicz practices at 360 E Beltline Ave NE Ste 320, Grand Rapids, MI 49506. The listed phone number is (616) 805-3660.
What is Carly Sutkiewicz's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Carly Sutkiewicz enrolled in Medicare?
Yes. Carly Sutkiewicz is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carly Sutkiewicz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Sutkiewicz reassigns Medicare benefits to Counseling Center Of West Michigan, LLC (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Sutkiewicz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carly Sutkiewicz accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Carly Sutkiewicz 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 Carly Sutkiewicz was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Carly Sutkiewicz, MA, LPC, NCC · NPI 1992486104
Professional provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since July 31, 2023.
## Identity
- **NPI:** 1992486104 (Entity type: Individual)
- **Enumerated:** July 31, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401225892 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 360 E BELTLINE AVE NE STE 320, Grand Rapids, MI 49506-1214
- **Phone:** (616) 805-3660
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Counseling Center Of West Michigan, LLC (NPI 1437610730, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1992486104) · Data from the CMS NPPES public registry.