Individual provider Active NPI

Kaye Sanders, LPC

  • Counselor
  • Kalamazoo, MI
National Provider Identifier
1285276733
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401013168 Issued in MI
Practice address
2615 Stadium Dr
Kalamazoo, MI 49008-1654
Phone
(269) 684-7741
NPI assigned
Oct 16, 2019
Last updated
Apr 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401013168 MI Primary
Professional Counselor 101YP2500X 6401013168 MI

Addresses

Primary practice location

2615 Stadium Dr
Kalamazoo, MI 49008-1654

Mailing address

50775 Burlington Rd
Marcellus, MI 49067-8798
Phone (269) 270-5358

Other practice location 1

50775 Burlington Rd
Marcellus, MI 49067-8798
Phone (269) 270-5358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221003444 MI Practitioner - Mental Health Counselor 6103260815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

4341 S Westnedge Ave
1205 Kalamazoo
Kalamazoo, MI 49008-3284
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Feb 15, 2024 Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 422-1430

4341 S Westnedge Ave
Ste 1205
Kalamazoo, MI 49008
Phone (248) 716-5125

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

Organizations & group practices 2

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1285276733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50775 BURLINGTON RD",
            "city": "MARCELLUS",
            "state": "MI",
            "postal_code": "490678798",
            "telephone_number": "269-270-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081654",
            "telephone_number": "269-684-7741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50775 Burlington Rd",
            "address_purpose": "LOCATION",
            "city": "Marcellus",
            "state": "MI",
            "postal_code": "490678798",
            "country_code": "US",
            "telephone_number": "269-270-5358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KAYE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401013168",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.