Active NPI
KP and Associates LLC
- Mental Health Counselor
- Grand Rapids, MI
National Provider Identifier
1265266498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryNPI 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.