Patricia Susan Mazzello, LMSW ACSW LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT4101005696 Issued in MI

Practice address

4000 Portage Rd
Ste 106
Kalamazoo, MI 49001

Phone

(269) 345-5041

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Kalamazoo Psychology, LLC

  • Counseling Psychologist
  • Kalamazoo, MI
  • NPI 1083879852
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1306971957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 PORTAGE RD",
            "address_2": "STE 106",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49001",
            "telephone_number": "269-345-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 PORTAGE RD",
            "address_2": "STE 106",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49001",
            "telephone_number": "269-345-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZELLO",
        "first_name": "PATRICIA",
        "middle_name": "SUSAN",
        "credential": "LMSW ACSW LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "LMSW6801012420",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "LMFT4101005696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca S Maynard, PHARMD
• Justynn P Mayo, LPC
• David Lee Mayor II, M.D.
• Ursula Mayr, LPC
• John Patrick Mazurek
• Vincent Mazzone, ATC
• Cyrus Mumo Mbithi, CRNA
• Danette Mbithi
• Regina B MC Pherson, P.T.
• Joanna Lynn McAfee, MS

• Marriage & Family Therapist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.