Organization Active NPI

Kalamazoo Counseling Connection

  • Community/Behavioral Health Agency
  • Kalamazoo, MI
National Provider Identifier
1396080669
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6401009362 Issued in MI
Legal business name
KALAMAZOO COUNSELING CONNECTION
Practice address
225 W Walnut St
Kalamazoo, MI 49007-5163
Phone
(269) 370-2899
Fax
(510) 201-7713
NPI assigned
Nov 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Mr. Dennis Alber Leclear, LPC
Title
Managing Partner
Phone
(269) 370-2899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6401009362 MI Primary

Addresses

Primary practice location

225 W Walnut St
Kalamazoo, MI 49007-5163

Mailing address

1710 Golfview Ave
#1
Kalamazoo, MI 49001-5296
Phone (269) 370-2899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140308000076 MI Part B Supplier - Clinic/Group Practice 1658501812 Receives reassigned benefits from 1 practitioner
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory

Locations

225 W Walnut St
Kalamazoo, MI 49007
Phone (269) 370-2899

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": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1396080669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 GOLFVIEW AVE",
            "address_2": "#1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490015296",
            "telephone_number": "269-370-2899",
            "fax_number": "510-201-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W WALNUT ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075163",
            "telephone_number": "269-370-2899",
            "fax_number": "510-201-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO COUNSELING CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "LECLEAR",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ALBER",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "269-370-2899",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401009362",
            "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 Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.