Active NPI
Shawn Marie Kolhoff, M.A., L.L.P.
- Psychologist
- Portage, MI
National Provider Identifier
1144347741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361001249
- Practice address
- 1125 E Milham Ave Ste B
Portage, MI 49002-3096 - Phone
- (269) 312-1446
- Fax
- (269) 225-6949
- NPI assigned
- Mar 26, 2007
- Last updated
- Mar 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6361001249 | MI | Primary |
| Counseling Psychologist | 103TC1900X | 6301012543 | MI |
Addresses
Primary practice location
1125 E Milham Ave Ste B
Portage, MI 49002-3096
Mailing address
PO Box 2174
Kalamazoo, MI 49003-2174
Phone (269) 312-1446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6470 E H Ave
Kalamazoo, MI 49048-6136
PO Box
Suite 2174
Kalamazoo, MI 49003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361001249 | MI | MD | Psychologist |
| 6301012543 | MI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serene Solutions | Current | Accepting new patients | |
| Arbor Circle Corporation | Past | Accepting new patients | |
| Allegan County Community Mental Health Services | Past | Accepting new patients | |
| Arbor Circle Corporation | Past | Accepting new patients |
Locations
1125 E Milham Ave
Ste B
Portage, MI 49002
Phone (269) 312-1446
Organizations & group practices 4
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.
-
- Professional Counselor
- Portage, MI
- NPI 1326545260
-
dba OnPoint
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Allegan, MI
- NPI 1215989231
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1174601512
-
- Community/Behavioral Health Agency
- Grand Rapids, MI
- NPI 1548459787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740873600000",
"number": "1144347741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2174",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490032174",
"telephone_number": "269-312-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 E MILHAM AVE STE B",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490023096",
"telephone_number": "269-312-1446",
"fax_number": "269-225-6949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLHOFF",
"first_name": "SHAWN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.A., L.L.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2025-03-02",
"certification_date": "2025-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361001249",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301012543",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.