Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Sutkiewicz, MA, LPC, NCC

Individual provider Professional Counselor · NPI 1992486104

Carly Sutkiewicz, MA, LPC, NCC is a Mental Health Counselor in Grand Rapids, Michigan. Qualified in 2023, 3 years ago. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

360 E Beltline Ave NE Ste 320
Grand Rapids, MI 49506-1214
Phone: (616) 805-3660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401225892 (MI)

Record details

NPI number1992486104
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC , NCC
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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