Individual provider Active NPI

James Alois Vlasicak, M.A., J.D.

  • Professional Counselor
  • Kalamazoo, MI
National Provider Identifier
1205100864
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401012914 Issued in MI
Practice address
618 Egleston Ave
Suite # 2
Kalamazoo, MI 49001-2223
Phone
(269) 217-4056
NPI assigned
Feb 29, 2012
Last updated
Feb 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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 6401012914 MI Primary

Addresses

Primary practice location

618 Egleston Ave
Suite # 2
Kalamazoo, MI 49001-2223

Mailing address

618 Egleston Ave
Suite # 2
Kalamazoo, MI 49001-2223
Phone (269) 217-4056

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
Juris Doctor, Master of Arts

State licenses

LicenseStateTypeSpecialty
6401012914MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1205100864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 EGLESTON AVE",
            "address_2": "SUITE # 2",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012223",
            "telephone_number": "269-217-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 EGLESTON AVE",
            "address_2": "SUITE # 2",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012223",
            "telephone_number": "269-217-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLASICAK",
        "first_name": "JAMES",
        "middle_name": "ALOIS",
        "name_prefix": "Mr.",
        "credential": "M.A., J.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012914",
            "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 Feb 29, 2012; 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.