Organization Active NPI

KP and Associates LLC

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1265266498
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KP AND ASSOCIATES LLC
Practice address
3940 Peninsular Dr SE Ste 230
Grand Rapids, MI 49546-6187
Phone
(616) 856-0037
Fax
(616) 699-4750
NPI assigned
Aug 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Mr. Kerby Killingham, LPC
Title
Clinician
Phone
(616) 856-0037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3940 Peninsular Dr SE Ste 230
Grand Rapids, MI 49546-6187

Mailing address

3940 Peninsular Dr SE Ste 230
Grand Rapids, MI 49546-6187
Phone (616) 856-0037

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1265266498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 PENINSULAR DR SE STE 230",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466187",
            "telephone_number": "616-856-0037",
            "fax_number": "616-699-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 PENINSULAR DR SE STE 230",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466187",
            "telephone_number": "616-856-0037",
            "fax_number": "616-699-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KP AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "KILLINGHAM",
        "authorized_official_first_name": "KERBY",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "616-856-0037",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.