Individual provider Active NPI

Ray Brandon, LPC, NCC, CSAT

  • Mental Health Counselor
  • Kalamazoo, MI
National Provider Identifier
1336855956
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451022677 Issued in MI
Practice address
2425 S 11TH St
Kalamazoo, MI 49009-2104
Phone
(269) 629-0324
NPI assigned
Jan 26, 2023
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH28308 FL
Mental Health Counselor 101YM0800X 6451022677 MI Primary

Addresses

Primary practice location

2425 S 11TH St
Kalamazoo, MI 49009-2104

Mailing address

6558 W H Ave
Kalamazoo, MI 49009-8623
Phone (269) 806-4601

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
I20250604003237 MI Practitioner - Mental Health Counselor 8729597232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Christian Counseling PCGroup PAC ID 1052765674, 9 clinicians

Practice addresses (Care Compare)

1090 N 10TH St
Suite 110
Kalamazoo, MI 49009-5733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6451022677MIMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Greenleaf Counseling and Consulting Professionals LLC Mental Health CurrentSince Jul 20, 2026 Accepting new patients
Cornerstone Christian Counseling PC Professional CurrentSince May 20, 2025 Accepting new patients

Locations

1090 N 10th St
Ste 110
Kalamazoo, MI 49009
Phone (269) 375-4363

2425 S 11th St
Ste A
Kalamazoo, MI 49009
Phone (269) 375-4363

5955 W Main St
Ste 220
Kalamazoo, MI 49009

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": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1336855956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6558 W H AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098623",
            "telephone_number": "269-806-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 S 11TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092104",
            "telephone_number": "269-629-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "RAY",
        "credential": "LPC, NCC, CSAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-26",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH28308",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451022677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.