Lillisage Therapy Collective

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

LILLISAGE THERAPY COLLECTIVE

Practice address

1901 Parkview Ave Ste 1
Kalamazoo, MI 49008-4806

Phone

(269) 225-5148

NPI assigned

Aug 28, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Kelsey Nimmo, MA, LPC, LLMFTNPI 1396255733

Title

Owner

Phone

(269) 225-5148

Specialties & licenses 4

Addresses

Other names 1

• Kalamazoo Therapy Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelsey Elizabeth Nimmo, MA, LMFT, LPC

  • Mental Health Counselor
  • Kalamazoo, MI
  • NPI 1396255733
  NPD Authorized official

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1295383685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 PARKVIEW AVE STE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490084806",
            "telephone_number": "269-225-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PARKVIEW AVE STE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490084806",
            "telephone_number": "269-225-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLISAGE THERAPY COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "NIMMO",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-225-5148",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC, LLMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalamazoo Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kalamazoo Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.