Organization Active NPI

Bethesda Counseling Sevices LLC

  • Clinical Psychologist
  • Kalamazoo, MI
National Provider Identifier
1487873659
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301001601 Issued in MI
Legal business name
BETHESDA COUNSELING SEVICES LLC
Practice address
4200 W Michigan Ave Ste 243 # 8
Kalamazoo, MI 49006-5892
Phone
(269) 375-2833
Fax
(269) 375-2838
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Paul Phelps Sr., MAR LPCNPI 1417140179
Title
Executive Director
Phone
(269) 375-2833

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 6401004079 MI
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 6301001601 MI Primary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 6301007397 MI
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 6401004079 MI

Addresses

Primary practice location

4200 W Michigan Ave Ste 243 # 8
Kalamazoo, MI 49006-5892

Mailing address

10040 Stadium Dr
Kalamazoo, MI 49009-9426
Phone (269) 375-2833

National Provider Directory

National Provider Directory

Locations

4200 W Michigan Ave
Ste 243
Kalamazoo, MI 49006
Phone (269) 375-2833

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1487873659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099426",
            "telephone_number": "269-375-2833",
            "fax_number": "269-375-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W MICHIGAN AVE STE 243 # 8",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065892",
            "telephone_number": "269-375-2833",
            "fax_number": "269-375-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA COUNSELING SEVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "269-375-2833",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MAR LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401004079",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301001601",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301007397",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "6401004079",
            "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 Sep 11, 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.