Organization Active NPI

Kayla Pacic Counseling Services, PLLC

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1104519859
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KAYLA PACIC COUNSELING SERVICES, PLLC
Practice address
4920 Plainfield Ave NE Ste D
Grand Rapids, MI 49525-1010
Phone
(313) 403-8464
NPI assigned
May 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Kayla PacicNPI 1073169553
Title
Licensed Professional Counselor
Phone
(313) 403-8464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4920 Plainfield Ave NE Ste D
Grand Rapids, MI 49525-1010

Mailing address

4920 Plainfield Ave NE Ste D
Grand Rapids, MI 49525-1010
Phone (313) 403-8464

National Provider Directory

National Provider Directory

Locations

4920 Plainfield Ave NE
Ste D
Grand Rapids, MI 49525
Phone (313) 403-8464

3501 Lake Eastbrook Blvd SE
Ste 120
Grand Rapids, MI 49546
Phone (206) 696-8765

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1104519859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 PLAINFIELD AVE NE STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251010",
            "telephone_number": "313-403-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 PLAINFIELD AVE NE STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251010",
            "telephone_number": "313-403-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYLA PACIC COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "PACIC",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "313-403-8464"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.