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
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carly Sutkiewicz Ma, Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 7 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
- **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.