Individual provider Active NPI

Colby Lawrence Laperriere, LLPC, NCC, ACS

  • Professional Counselor
  • Kalamazoo, MI
National Provider Identifier
1487120804
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401016865 Issued in MI
Practice address
1020 S Westnedge Ave
Kalamazoo, MI 49008-1166
Phone
(269) 344-4458
NPI assigned
Oct 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401016865 MI Primary

Addresses

Primary practice location

1020 S Westnedge Ave
Kalamazoo, MI 49008-1166

Mailing address

401 Howard St
Battle Creek, MI 49037
Phone (269) 344-4458

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
I20231213001439 MI Practitioner - Mental Health Counselor 0840649000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401016865MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Streams P C CurrentSince Jan 1, 2024 Accepting new patients
Victory Clinical Services LLC Past Accepting new patients

Locations

2019 Rambling Rd
Kalamazoo, MI 49008
Phone (269) 345-0909

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1487120804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HOWARD ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49037",
            "telephone_number": "269-344-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S WESTNEDGE AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081166",
            "telephone_number": "269-344-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPERRIERE",
        "first_name": "COLBY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "LLPC, NCC, ACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-24",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.