Individual provider Active NPI

Kailyn McKinsey Ranguette, LLP

  • Counseling Psychologist
  • Ada, MI
National Provider Identifier
1346969557
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6361008148 Issued in MI
Practice address
4690 Fulton St E Ste 102
Ada, MI 49301-8454
Phone
(616) 425-7701
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X
Counseling Psychologist 103TC1900X 6361008148 MI Primary

Addresses

Primary practice location

4690 Fulton St E Ste 102
Ada, MI 49301-8454

Mailing address

4690 Fulton St E Ste 102
Ada, MI 49301-8454
Phone (616) 425-7701

Other names 1

  • Kailyn McKinsey Wales Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6362009536MIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Four Health Family Resource Center Inc PastSince Aug 1, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1346969557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 FULTON ST E STE 102",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018454",
            "telephone_number": "616-425-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 FULTON ST E STE 102",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018454",
            "telephone_number": "616-425-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGUETTE",
        "first_name": "KAILYN",
        "middle_name": "MCKINSEY",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6361008148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAILYN",
            "last_name": "WALES",
            "middle_name": "MCKINSEY",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ada, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.