Individual provider Active NPI

Marcy Wujkowski, MA, LLP, LPC

  • Counseling Psychologist
  • Kalamazoo, MI
National Provider Identifier
1396828778
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301011056 Issued in MI
Practice address
2019 Rambling Rd
Kalamazoo, MI 49008-1630
Phone
(269) 345-0909
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401007317 MI
Counseling Psychologist 103TC1900X 6301011056 MI Primary

Addresses

Primary practice location

2019 Rambling Rd
Kalamazoo, MI 49008-1630

Mailing address

28258 Acorn Dr
Lawton, MI 49065-7669
Phone (269) 624-9193

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
I20240806002776 MI Practitioner - Mental Health Counselor 0547707754 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301011056MIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Christian Counseling PC Professional CurrentSince May 31, 2024 Accepting new patients

Locations

2425 S 11th St
Ste A
Kalamazoo, MI 49009
Phone (269) 375-4363

1090 N 10th St
Ste 110
Kalamazoo, MI 49009
Phone (269) 375-4363

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1396828778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28258 ACORN DR",
            "city": "LAWTON",
            "state": "MI",
            "postal_code": "490657669",
            "telephone_number": "269-624-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 RAMBLING RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081630",
            "telephone_number": "269-345-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUJKOWSKI",
        "first_name": "MARCY",
        "name_prefix": "Mrs.",
        "credential": "MA, LLP, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007317",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301011056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.