Individual provider Active NPI

Petra Ann Morey

  • Marriage & Family Therapist
  • Kalamazoo, MI
National Provider Identifier
1215401997
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101006840 Issued in MI
Practice address
6963 W KL Ave
Kalamazoo, MI 49009
Phone
(269) 491-0600
NPI assigned
Jan 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4101006840 MI Primary

Addresses

Primary practice location

6963 W KL Ave
Kalamazoo, MI 49009

Mailing address

6963 W KL Ave
Kalamazoo, MI 49009-8043
Phone (269) 491-0600

Other practice location 1

2529 McKinley St
Kalamazoo, MI 49004-1533
Phone (269) 491-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250303000759 MI Practitioner - Marriage and Family Therapist 2466973813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meaningful Connections Counseling PLCGroup PAC ID 7416286778, 4 clinicians

Practice addresses (Care Compare)

6963 W KL Ave
Suite a
Kalamazoo, MI 49009-8043
Phone (269) 459-9790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4101006840MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Meaningful Connections Counseling PLC Marriage & Family Therapist CurrentSince Jan 31, 2025 Accepting new patients
Dorman and Associates PLC PastSince Jan 31, 2025 Accepting new patients

Locations

6963 W Kl Ave
#A
Kalamazoo, MI 49009
Phone (269) 459-9790

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": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1215401997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6963 W KL AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098043",
            "telephone_number": "269-491-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6963 W KL AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49009",
            "telephone_number": "269-491-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2529 McKinley St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490041533",
            "country_code": "US",
            "telephone_number": "269-491-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOREY",
        "first_name": "PETRA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.