Individual provider Active NPI

Phyllis Senesi, LMSW, LMFT

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1407294002
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801016168 Issued in MI
Practice address
426 Solon St
Kalamazoo, MI 49006-4289
Phone
(269) 353-7607
Fax
(269) 344-0453
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801016168 MI Primary
Marriage & Family Therapist 106H00000X 4101005968 MI

Addresses

Primary practice location

426 Solon St
Kalamazoo, MI 49006-4289

Mailing address

PO Box 19696
Kalamazoo, MI 49019-0696
Phone (269) 353-7607

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
I20210623002766 MI Practitioner - Clinical Social Worker 2466853825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whole Life Counseling PLLCGroup PAC ID 8123428000, 4 clinicians

Practice addresses (Care Compare)

1011 W Maple St
Suite 400
Kalamazoo, MI 49008-5806
Phone (269) 353-7607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4101005968MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Life Counseling PLLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

1011 W Maple St
Ste 400
Kalamazoo, MI 49008
Phone (269) 353-7607

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": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1407294002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19696",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490190696",
            "telephone_number": "269-353-7607",
            "fax_number": "269-344-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 SOLON ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490064289",
            "telephone_number": "269-353-7607",
            "fax_number": "269-344-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENESI",
        "first_name": "PHYLLIS",
        "credential": "LMSW, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801016168",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101005968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.