Amy Jane-Bolt Mack, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6901089181 Issued in MI

Practice address

605 Howard St
Kalamazoo, MI 49008-1919

Phone

(269) 329-8297

Fax

(269) 387-7050

NPI assigned

Jan 7, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1205258449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 OAKLAND DR",
            "address_2": "3RD FLOOR CTAC",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081282",
            "telephone_number": "269-329-8297",
            "fax_number": "269-387-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HOWARD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081919",
            "telephone_number": "269-329-8297",
            "fax_number": "269-387-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "AMY",
        "middle_name": "JANE-BOLT",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6901089181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mykayla Christine Florence Macewen
• Amy Macfarlane, BCBA
• Jasmine Machin
• Margaret Maciorowski
• Kirsty Maciver, BCBA
• Christina A Mack, MSW
• Mark J Mack
• James K Mackay, MD
• Michael Scott Mackay
• Keyana Mackerel, RBT

• Mental Health Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.