Organization Active NPI

Madison Behavioral Services, LLC

Doing business as Madison Behavioral Services

  • Community/Behavioral Health Agency
  • Montrose, MI
National Provider Identifier
1164808796
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MADISON BEHAVIORAL SERVICES, LLC
Doing business as
Madison Behavioral Services
Practice address
16870 East Rd Ste 400
Montrose, MI 48457-9370
Phone
(810) 771-8458
NPI assigned
Aug 5, 2015
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Jeffrey Allan KimelNPI 1255762886
Title
Owner
Phone
(810) 771-8458

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

16870 East Rd Ste 400
Montrose, MI 48457-9370

Mailing address

16870 East Rd
Montrose, MI 48457-9370
Phone (810) 771-8458

Other identifiers 1

IdentifierTypeStateIssuer
100095265MedicaidWI

Other names 1

  • Madison Behavioral Services Doing business as

National Provider Directory

National Provider Directory

Locations

16 N Carroll St
Ste 400
Madison, WI 53703
Phone (262) 898-2940

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1164808796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16870 EAST RD",
            "city": "MONTROSE",
            "state": "MI",
            "postal_code": "484579370",
            "telephone_number": "810-771-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16870 EAST RD STE 400",
            "city": "MONTROSE",
            "state": "MI",
            "postal_code": "484579370",
            "telephone_number": "810-771-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "KIMEL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-771-8458"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100095265",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Behavioral Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montrose, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.