Individual provider Active NPI

Marin Oliver Kempen

  • Professional Counselor
  • Walled Lake, MI
National Provider Identifier
1124815147
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1010 E West Maple Rd Ste 100
Walled Lake, MI 48390-3571
Phone
(248) 313-2900
NPI assigned
Apr 23, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1010 E West Maple Rd Ste 100
Walled Lake, MI 48390-3571

Mailing address

509 W Forest Ave Apt 105
Ypsilanti, MI 48197-8117
Phone (248) 727-7361

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

Practice roles

OrganizationSpecialtyStatusNew patients
Easterseals Morc Health Care, Inc. Community/Behavioral Health PastSince Oct 6, 2024 Accepting new patients
Easterseals Morc Health Care, Inc. Community/Behavioral Health Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1124815147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W FOREST AVE APT 105",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978117",
            "telephone_number": "248-727-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E WEST MAPLE RD STE 100",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903571",
            "telephone_number": "248-313-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPEN",
        "first_name": "MARIN",
        "middle_name": "OLIVER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-23",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walled Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.