Individual provider Active NPI

Lori E Guidone, PA, LPC

  • Professional Counselor
  • Kalamazoo, MI
National Provider Identifier
1508852336
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401222861 Issued in MI
Practice address
4341 S Westnedge Ave Ste 2205
Kalamazoo, MI 49008-3287
Phone
(800) 969-6162
NPI assigned
Sep 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Physician Assistant 363A00000X PA00584 OR
Professional Counselor 101YP2500X 6401222861 MI Primary

Addresses

Primary practice location

4341 S Westnedge Ave Ste 2205
Kalamazoo, MI 49008-3287

Mailing address

10405 Skyview Dr
Kalamazoo, MI 49009-6980
Phone (503) 975-3123

Other practice location 1

10405 Skyview Dr
Kalamazoo, MI 49009-6980
Phone (503) 975-3123

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

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
I20231130003168 MI Practitioner - Mental Health Counselor 2062324189 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brainwise Psychotherapy PLLCGroup PAC ID 5294177622, 10 clinicians

Practice addresses (Care Compare)

555 W Crosstown Pkwy
Suite 401
Kalamazoo, MI 49008-1980
Phone (269) 389-9502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6401222861MIMDProfessional Counselor
584ORMDNeurorehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Battle Creek Hospital Physician Assistant CurrentSince Jan 1, 2024 Accepting new patients
Brainwise Psychotherapy PLLC CurrentSince Aug 5, 2024 Accepting new patients
Bronson Methodist Hospital Physician Assistant CurrentSince Jan 1, 2024 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Jan 1, 2024 Accepting new patients

Locations

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

555 W Crosstown Pkwy
Ste 401
Kalamazoo, MI 49008
Phone (269) 389-9502

4341 S Westnedge Ave
Ste 2205
Kalamazoo, MI 49008
Phone (269) 373-4646

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 4

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1508852336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10405 SKYVIEW DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490096980",
            "telephone_number": "503-975-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 S WESTNEDGE AVE STE 2205",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083287",
            "telephone_number": "800-969-6162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10405 Skyview Dr",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490096980",
            "country_code": "US",
            "telephone_number": "503-975-3123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUIDONE",
        "first_name": "LORI",
        "middle_name": "E",
        "credential": "PA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA00584",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401222861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.