Individual provider Active NPI

Kaley Christina Macleod, LLPC

  • Mental Health Counselor
  • Waterford, MI
National Provider Identifier
1467327098
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451024573 Issued in MI
Practice address
4576 W Walton Blvd
Waterford, MI 48329-4905
Phone
(248) 618-3920
Fax
(248) 497-5599
NPI assigned
Oct 6, 2025
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6451024573 MI Primary

Addresses

Primary practice location

4576 W Walton Blvd
Waterford, MI 48329-4905

Mailing address

4576 W Walton Blvd
Waterford, MI 48329-4905
Phone (248) 618-3920

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

State licenses

LicenseStateTypeSpecialty
6451024573MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Health Associate of Waterford Clarkston CurrentSince Oct 12, 2025 Accepting new patients
New Image Body and Wellness Clinic, PC PastSince Oct 12, 2025 Accepting new patients

Locations

4576 W Walton Blvd
Waterford, MI 48329
Phone (248) 618-3920

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": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1467327098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4576 W WALTON BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294905",
            "telephone_number": "248-618-3920",
            "fax_number": "248-479-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4576 W WALTON BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294905",
            "telephone_number": "248-618-3920",
            "fax_number": "248-497-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEOD",
        "first_name": "KALEY",
        "middle_name": "CHRISTINA",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451024573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.