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

Krystin Mitch

Individual provider Clinical Social Worker · NPI 1295503795

Krystin Mitch is a Clinical Social Worker in Harrison Township, Michigan. Graduated from Wayne State University School of Medicine in 2012, 14 years ago. Practices with Lakeside Professional Counseling PC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
14
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2023

Practice location Address checks out

38351 Hazel St
Harrison Township, MI 48045-3566
Phone: (586) 630-9675
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801104157 (MI)

Record details

NPI number1295503795
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2023
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing address38351 Hazel St, Harrison Township, MI 48045-3566

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Lakeside Professional Counseling Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Harrison Township