Active NPI
Phyllis Senesi, LMSW, LMFT
- Clinical Social Worker
- Kalamazoo, MI
National Provider Identifier
1407294002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801016168
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4101005968 | MI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Life Counseling PLLC | Current | 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.
-
- Community/Behavioral Health Agency
- Kalamazoo, MI
- NPI 1700100989
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.