NPIMap

Organization Active NPI

Kalamazoo Counseling & Wellness, LLC

  • Community/Behavioral Health Agency
  • Kalamazoo, MI
National Provider Identifier
1366014052
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KALAMAZOO COUNSELING & WELLNESS, LLC
Practice address
1203 Miles Ave
Kalamazoo, MI 49001-4931
Phone
(734) 778-0319
Fax
(269) 620-6248
NPI assigned
Jul 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Mrs. Erin Jolie Praedel, LPC, LMFTNPI 1750694089
Title
Owner
Phone
(734) 778-0319

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1203 Miles Ave
Kalamazoo, MI 49001-4931

Mailing address

1203 Miles Ave
Kalamazoo, MI 49001-4931
Phone (734) 778-0319

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1366014052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 MILES AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014931",
            "telephone_number": "734-778-0319",
            "fax_number": "269-620-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 MILES AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014931",
            "telephone_number": "734-778-0319",
            "fax_number": "269-620-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "PRAEDEL",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "JOLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-778-0319",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.