Individual provider Active NPI

Maria Swiftfoot, LLP, LLPC, CMMT

  • Clinical Psychologist
  • Kalamazoo, MI
National Provider Identifier
1104064740
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6361000784 Issued in MI
Practice address
4341 S Westnedge Ave Ste 1106
Kalamazoo, MI 49008-3283
Phone
(269) 312-1446
NPI assigned
Feb 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401007071 MI
Counseling Psychologist 103TC1900X 6301010873 MI
Clinical Psychologist 103TC0700X 6361000784 MI Primary

Addresses

Primary practice location

4341 S Westnedge Ave Ste 1106
Kalamazoo, MI 49008-3283

Mailing address

PO Box 2174
Kalamazoo, MI 49003-2174
Phone (269) 312-1446

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401007071MIMDProfessional Counselor
6361000784MIMDClinical Psychologist
6301010873MIMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1104064740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2174",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490032174",
            "telephone_number": "269-312-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 S WESTNEDGE AVE STE 1106",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083283",
            "telephone_number": "269-312-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIFTFOOT",
        "first_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LLP, LLPC, CMMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2023-04-14",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007071",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301010873",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361000784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.