NPIMap

Organization Active NPI

Kalamazoo Child and Family Counseling, PLLC

  • Clinical Social Worker
  • Portage, MI
National Provider Identifier
1306293105
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095368 Issued in MI
Legal business name
KALAMAZOO CHILD AND FAMILY COUNSELING, PLLC
Practice address
614 Romence Rd Ste 245
Portage, MI 49024-3613
Phone
(269) 615-7637
NPI assigned
May 21, 2016
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Jeffrey Joseph Laponsie, MSWNPI 1881003663
Title
Owner
Phone
(269) 615-7637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801095368 MI Primary

Addresses

Primary practice location

614 Romence Rd Ste 245
Portage, MI 49024-3613

Mailing address

6838 Marlow St
Portage, MI 49024-3341
Phone (269) 615-7637

Other practice location 1

4341 S Westnedge Ave Ste 1203
Kalamazoo, MI 49008-3284
Phone (269) 615-7637

National Provider Directory

National Provider Directory
Tax ID family
Kalamazoo Child and Family Counseling PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

614 Romence Rd
Ste 245
Portage, MI 49024
Phone (269) 615-7637

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1463788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1306293105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838 MARLOW ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243341",
            "telephone_number": "269-615-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 ROMENCE RD STE 245",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243613",
            "telephone_number": "269-615-7637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4341 S Westnedge Ave Ste 1203",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490083284",
            "country_code": "US",
            "telephone_number": "269-615-7637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KALAMAZOO CHILD AND FAMILY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-21",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "LAPONSIE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-615-7637",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.