Individual provider Active NPI

Kelly Nicole Warren, MA, LPC

  • Mental Health Counselor
  • Kalamazoo, MI
National Provider Identifier
1497265722
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401018021 Issued in MI
Practice address
4341 S Westnedge Ave Ste 1101
Kalamazoo, MI 49008-3284
Phone
(269) 633-9456
NPI assigned
Sep 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 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 6401018021 MI Primary

Addresses

Primary practice location

4341 S Westnedge Ave Ste 1101
Kalamazoo, MI 49008-3284

Mailing address

4341 S Westnedge Ave Ste 1101
Kalamazoo, MI 49008-3284
Phone (269) 633-9456

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401018021MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Living Hope Counseling Center, LLC Current Accepting new patients

Locations

42473 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 556-6982

4341 S Westnedge Ave
Ste 1101
Kalamazoo, MI 49008
Phone (269) 218-8260

Organizations & group practices 1

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": "1506729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1497265722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 S WESTNEDGE AVE STE 1101",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083284",
            "telephone_number": "269-633-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 S WESTNEDGE AVE STE 1101",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083284",
            "telephone_number": "269-633-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "KELLY",
        "middle_name": "NICOLE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-30",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401018021",
            "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 Jan 2, 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.