Alexis Brianna Kirk, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451023801 Issued in MI

Practice address

4764 Fulton St E Ste 204
Ada, MI 49301-9086

Phone

(616) 541-9951

NPI assigned

Jul 15, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1023856192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OTTAWA AVE NW APT 704",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034833",
            "telephone_number": "757-775-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4764 FULTON ST E STE 204",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019086",
            "telephone_number": "616-541-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "ALEXIS",
        "middle_name": "BRIANNA",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451023801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Marie Kaiton, P.T.
• Kathleen JM Burmania DHSC Otrl LLC
• Kelly Powers, LLC
• Amanda Lee Kelly, PA
• Shantel Margrie Kelly, MT
• Lisa Kirkman, RDN
• Kjc323Pllc
• Christopher Klein, MA
• Rachel Kloosterman, MSN RN, FNP-C
• Michele Koenes, MSW

• Mental Health Counselor in Ada, MI
• Providers in Ada, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.