Individual provider Active NPI

Kelsey Elizabeth Nimmo, MA, LMFT, LPC

  • Mental Health Counselor
  • Kalamazoo, MI
National Provider Identifier
1396255733
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401015851 Issued in MI
Practice address
1901 Parkview Ave Ste 1
Kalamazoo, MI 49008-4806
Phone
(269) 225-5148
NPI assigned
Oct 11, 2017
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4101006717 MI
Mental Health Counselor 101YM0800X 6401015851 MI Primary

Addresses

Primary practice location

1901 Parkview Ave Ste 1
Kalamazoo, MI 49008-4806

Mailing address

1901 Parkview Ave Ste 1
Kalamazoo, MI 49008-4806
Phone (692) 255-5148

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4101006717MIMDMental Health Counselor
6401015851MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lillisage Therapy Collective Current Accepting new patients
Grand Rapids Therapy Group Inc PastSince Sep 28, 2025 Accepting new patients

Locations

1901 Parkview Ave
Ste 1
Kalamazoo, MI 49008
Phone (269) 207-5664

Organizations & group practices 2

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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1396255733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 PARKVIEW AVE STE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490084806",
            "telephone_number": "692-255-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PARKVIEW AVE STE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490084806",
            "telephone_number": "269-225-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMMO",
        "first_name": "KELSEY",
        "middle_name": "ELIZABETH",
        "credential": "MA, LMFT, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "4101006717",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015851",
            "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 Sep 29, 2023; 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.