Active NPI
Colby Lawrence Laperriere, LLPC, NCC, ACS
- Professional Counselor
- Kalamazoo, MI
National Provider Identifier
1487120804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401016865
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401016865 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Streams P C | Current | 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.
-
- Psychologist
- Kalamazoo, MI
- NPI 1740295492
-
- Multi-Specialty Clinic/Center
- Kalamazoo, MI
- NPI 1447383500
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.