Individual provider Active NPI

Deborah Marie Pawell, LLP LPC

  • Counselor
  • Kalamazoo, MI
National Provider Identifier
1114254570
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401009744 Issued in MI
Practice address
1090 N 10TH St Ste 110
Kalamazoo, MI 49009-5733
Phone
(269) 375-4363
Fax
(269) 375-4362
NPI assigned
Nov 5, 2009
Last updated
Nov 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401009744 MI Primary
Psychologist 103T00000X 6301013093 MI

Addresses

Primary practice location

1090 N 10TH St Ste 110
Kalamazoo, MI 49009-5733

Mailing address

1090 N 10TH St Ste 110
Kalamazoo, MI 49009-5733
Phone (269) 375-4363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815001557 MI Practitioner - Mental Health Counselor 0941748461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Western Michigan Un Homer Stryker School of Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Christian Counseling PCGroup PAC ID 1052765674, 9 clinicians

Practice addresses (Care Compare)

1090 N 10TH St
Suite 110
Kalamazoo, MI 49009-5733

2425 S 11TH St
Suite a
Kalamazoo, MI 49009-2113
Phone (269) 375-4363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401009744MIMDCounselor
6301013093MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Christian Counseling PC CurrentSince Jun 9, 2024 Accepting new patients

Locations

1090 N 10th St
Ste 110
Kalamazoo, MI 49009
Phone (269) 375-4363

2425 S 11th St
Ste A
Kalamazoo, MI 49009
Phone (269) 375-4363

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1114254570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 N 10TH ST STE 110",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095733",
            "telephone_number": "269-375-4363",
            "fax_number": "269-375-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 N 10TH ST STE 110",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095733",
            "telephone_number": "269-375-4363",
            "fax_number": "269-375-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWELL",
        "first_name": "DEBORAH",
        "middle_name": "MARIE",
        "credential": "LLP LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401009744",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.