Kalamazoo Counseling Center, PLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KALAMAZOO COUNSELING CENTER, PLC

Practice address

5084 Lovers LN
Portage, MI 49002-1557

Phone

(269) 339-1240

NPI assigned

Dec 21, 2023

Last updated

Jan 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Indira K Kalmbach, MA, LPCNPI 1760092076

Title

Owner

Phone

(269) 339-1240

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Indira K Kalmbach, M.A.

  • Professional Counselor
  • Kalamazoo, MI
  • NPI 1760092076

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1215706064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5084 LOVERS LN",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021557",
            "telephone_number": "269-339-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5084 LOVERS LN",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021557",
            "telephone_number": "269-339-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO COUNSELING CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "KALMBACH",
        "authorized_official_first_name": "INDIRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-339-1240",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Portage, MI
• Providers in Portage, 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 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.