Individual provider Active NPI

Kimberly Anne Powers, MA. LLPC

  • Professional Counselor
  • Kalamazoo, MI
National Provider Identifier
1396189098
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
L2152772 Issued in MI
Practice address
200 Turwill LN Ste D
Kalamazoo, MI 49006-4277
Phone
(510) 827-1305
Fax
(269) 344-4459
NPI assigned
Apr 24, 2013
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X L2152772 MI Primary

Addresses

Primary practice location

200 Turwill LN Ste D
Kalamazoo, MI 49006-4277

Mailing address

200 Turwill LN Ste D
Kalamazoo, MI 49006-4277
Phone (510) 827-1305

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
I20250227002227 MI Practitioner - Mental Health Counselor 2163942665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4200 W Michigan Ave
Suite 242
Kalamazoo, MI 49006-5892
Phone (510) 827-1305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L2152772MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Soul Mind Strength LLC Professional CurrentSince Jan 27, 2025 Accepting new patients

Locations

200 Turwill Ln
Ste D
Kalamazoo, MI 49006
Phone (269) 352-6639

4200 W Michigan Ave
Ste 242
Kalamazoo, MI 49006
Phone (510) 827-1305

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, 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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1396189098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TURWILL LN STE D",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490064277",
            "telephone_number": "510-827-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TURWILL LN STE D",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490064277",
            "telephone_number": "510-827-1305",
            "fax_number": "269-344-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "MA. LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "L2152772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.