Individual provider Active NPI

Kayleigh Jean Peffers

  • Clinical Social Worker
  • Newaygo, MI
National Provider Identifier
1386161693
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
222 E 82ND St
Newaygo, MI 49337-8890
Phone
(231) 652-1780
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

222 E 82ND St
Newaygo, MI 49337-8890

Mailing address

20151 Gilbert Rd Apt F1
Big Rapids, MI 49307-2322
Phone (616) 690-5523

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
I20240706000211 MI Practitioner - Clinical Social Worker 1658815287 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Portal Point Counseling, LLC CurrentSince Apr 18, 2024 Accepting new patients
Sage Creek Counseling LLC Clinical Current Accepting new patients
Arbor Circle Corporation Past Accepting new patients
Arbor Circle Corporation Clinical PastSince Feb 1, 2023 Accepting new patients

Locations

185 44th St SW
Ste E
Grandville, MI 49418
Phone (269) 397-0088

1428 44th St SW
Ste B
Wyoming, MI 49509
Phone (616) 209-2222

Organizations & group practices 4

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": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1386161693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20151 GILBERT RD APT F1",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072322",
            "telephone_number": "616-690-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E 82ND ST",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493378890",
            "telephone_number": "231-652-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEFFERS",
        "first_name": "KAYLEIGH",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newaygo, MI

Sources for this page

Verify at the official NPI Registry.