Organization Active NPI

Kairos Counseling and Wellness

  • Clinical Social Worker
  • Dewitt, MI
National Provider Identifier
1447977467
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KAIROS COUNSELING AND WELLNESS
Practice address
12800 Escanaba Dr Ste D
Dewitt, MI 48820-8680
Phone
(517) 449-4162
NPI assigned
Oct 20, 2022
Last updated
Mar 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Brianne DangcNPI 1639670144
Title
Owner
Phone
(517) 292-3010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

12800 Escanaba Dr Ste D
Dewitt, MI 48820-8680

Mailing address

12800 Escanaba Dr Ste D
Dewitt, MI 48820-8680
Phone (517) 292-3010

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 888-524-3718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221104002175 MI Part B Supplier - Clinic/Group Practice 5395112247 Receives reassigned benefits from 4 practitioners
Practice locations: Dewitt, MI

National Provider Directory

National Provider Directory

Locations

12800 Escanaba Dr
Ste D
Dewitt, MI 48820
Phone (517) 449-4162

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1447977467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 ESCANABA DR STE D",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488208680",
            "telephone_number": "517-292-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 ESCANABA DR STE D",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488208680",
            "telephone_number": "517-449-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "DANGC",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-292-3010"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "888-524-3718",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "12800 Escanaba Dr Ste D",
            "city": "DeWitt",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488208680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dewitt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.