Organization Active NPI

Pillar Recovery Services

  • Family Nurse Practitioner
  • Canton, MI
National Provider Identifier
1275323255
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PILLAR RECOVERY SERVICES
Practice address
43663 Michigan Ave
Canton, MI 48188-2516
Phone
(517) 225-4483
Fax
(517) 225-6411
NPI assigned
May 12, 2025
Last updated
Nov 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Mrs. Kelsey Williams
Title
Director of Clinical Operations
Phone
(517) 225-4483

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

43663 Michigan Ave
Canton, MI 48188-2516

Mailing address

43663 Michigan Ave
Canton, MI 48188-2516
Phone (517) 225-4483

Other identifiers 2

IdentifierTypeStateIssuer
52025730MedicaidNM
4704423743OtherMIMICHIGAN DEPT. OF LICENSING & REGULATORY AFFAIRS - BUREAU OF PROF. LICENSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250815002900 MI Part B Supplier - Clinic/Group Practice 4688173776 Receives reassigned benefits from 5 practitioners
Practice locations: Adrian, MI; Canton, MI

National Provider Directory

National Provider Directory

Locations

43663 Michigan Ave
Canton, MI 48188
Phone (517) 225-4483

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1275323255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43663 MICHIGAN AVE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882516",
            "telephone_number": "517-225-4483",
            "fax_number": "517-225-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43663 MICHIGAN AVE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882516",
            "telephone_number": "517-225-4483",
            "fax_number": "517-225-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILLAR RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "517-225-4483",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52025730",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN DEPT. OF LICENSING & REGULATORY AFFAIRS - BUREAU OF PROF. LICENSING",
            "identifier": "4704423743",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.