Individual provider Active NPI

Nicole Allen, MA, LLP

  • Counseling Psychologist
  • Kalamazoo, MI
National Provider Identifier
1124696158
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6361008127 Issued in MI
Practice address
2318 Gull Rd Ste C
Kalamazoo, MI 49048-3619
Phone
(269) 264-8930
NPI assigned
Jun 16, 2021
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6361008127 MI Primary

Addresses

Primary practice location

2318 Gull Rd Ste C
Kalamazoo, MI 49048-3619

Mailing address

251 N Rose St Ste 200
Kalamazoo, MI 49007-3874

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6361008127MIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kalamazoo Psychology, LLC Counseling CurrentSince Jan 26, 2025 Accepting new patients
Renewed Outlook Therapy Counseling Current Accepting new patients
Kalamazoo Psychology PastSince Jan 26, 2025 Accepting new patients

Locations

122 W South St
Kalamazoo, MI 49007
Phone (269) 349-4129

251 N Rose St
Ste 200
Kalamazoo, MI 49007
Phone (269) 329-0730

Organizations & group practices 3

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": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1124696158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N ROSE ST STE 200",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 GULL RD STE C",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490483619",
            "telephone_number": "269-264-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MA, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6361008127",
            "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 Sep 25, 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.