Individual provider Active NPI

Kasey R Magnuson, LLP

  • Psychologist
  • Byron Center, MI
National Provider Identifier
1053455378
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361003491 Issued in MI
Practice address
325 84TH St SW Ste 103
Byron Center, MI 49315-9350
Phone
(616) 805-3660
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6361003491 MI Primary

Addresses

Primary practice location

325 84TH St SW Ste 103
Byron Center, MI 49315-9350

Mailing address

1466 Chase Lane Dr SW
Byron Center, MI 49315-9586
Phone (616) 443-7150

Other practice location 1

40 Jefferson Ave SE
Grand Rapids, MI 49503-4304
Phone (616) 356-6285 ext. 285

Other identifiers 1

IdentifierTypeStateIssuer
7509106890OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Ms. Kasey Meunier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6361003491MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of West Michigan, LLC CurrentSince Aug 17, 2025 Accepting new patients

Locations

325 84th St SW
Ste 103
Byron Center, MI 49315

360 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 566-1021

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1053455378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 CHASE LANE DR SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159586",
            "telephone_number": "616-443-7150",
            "fax_number": "616-732-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 84TH ST SW STE 103",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159350",
            "telephone_number": "616-805-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Jefferson Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495034304",
            "country_code": "US",
            "telephone_number": "616-356-6285 x285",
            "fax_number": "616-832-6392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNUSON",
        "first_name": "KASEY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361003491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7509106890",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASEY",
            "last_name": "MEUNIER",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Byron Center, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.