Individual provider Active NPI

Lacey Twardowski

  • Counselor
  • Kalamazoo, MI
National Provider Identifier
1275961732
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6301015738 Issued in MI
Practice address
3030 S 9TH St
Suite 3E
Kalamazoo, MI 49009-7956
Phone
(269) 544-7720
NPI assigned
Oct 21, 2013
Last updated
Oct 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6301015738 MI Primary

Addresses

Primary practice location

3030 S 9TH St
Suite 3E
Kalamazoo, MI 49009-7956

Mailing address

3030 S 9TH St
Suite 3E
Kalamazoo, MI 49009-7956
Phone (269) 544-7720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6301015738MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Diane M Kanous Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382313600000",
    "number": "1275961732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 S 9TH ST",
            "address_2": "SUITE 3E",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490097956",
            "telephone_number": "269-544-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 S 9TH ST",
            "address_2": "SUITE 3E",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490097956",
            "telephone_number": "269-544-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWARDOWSKI",
        "first_name": "LACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6301015738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.