Defining Moments Counseling & Consultation, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DEFINING MOMENTS COUNSELING & CONSULTATION, PLLC

Practice address

108 S Lauderdale Dr
Kalamazoo, MI 49006-4348

Phone

(269) 352-6713

NPI assigned

Jan 26, 2021

Organization subpart

No

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

Authorized official

Name

Caroline M Ray, MA, LPC, NCCNPI 1073103628

Title

Authorized Agent

Phone

(269) 352-6713

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caroline Maretha Ray, MA, LPC, NCC, ACS

  • Professional Counselor
  • Kalamazoo, MI
  • NPI 1073103628
  NPD Authorized official

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1104417872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S LAUDERDALE DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490064348",
            "telephone_number": "269-352-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S LAUDERDALE DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490064348",
            "telephone_number": "269-352-6713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5340 Holiday Ter Ste 13",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490092181",
            "country_code": "US",
            "telephone_number": "269-372-4140 x232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEFINING MOMENTS COUNSELING & CONSULTATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "269-352-6713",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylla Decker
• Elizabeth Decot-Dekorne
• Ashley Decou, M.A.
• Michelle Deering
• Juanita G Defay, RN, BAS
• Samuel Michael-Kalush Degain
• Keith Degraaf
• Michael James Degrand, MD
• Emma Degroat
• Kristen Degroff, FNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.