Individual provider Active NPI

Christopher Kilmer, LPC

  • Professional Counselor
  • Jackson, MI
National Provider Identifier
1518544394
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401018597 Issued in MI
Practice address
3101 Spring Arbor Rd
Jackson, MI 49203-3799
Phone
(517) 782-2442
NPI assigned
Mar 26, 2021
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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 6401018597 MI Primary

Addresses

Primary practice location

3101 Spring Arbor Rd
Jackson, MI 49203-3799

Mailing address

5595 E Mosherville Rd
Jonesville, MI 49250-9798
Phone (517) 962-6619

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
I20240227002145 MI Practitioner - Mental Health Counselor 7810332160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patricia J Lafave P H D and Associates P CGroup PAC ID 3577512565, 9 clinicians

Practice addresses (Care Compare)

3101 Spring Arbor Rd
Suite 100
Jackson, MI 49203-3799
Phone (517) 782-2442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401018597MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia J Lafave P H D & Associates P C CurrentSince Feb 6, 2024 Accepting new patients
Chris Kilmer Counseling PLC PastSince Mar 28, 2021 Accepting new patients

Locations

3101 Spring Arbor Rd
Ste 100
Jackson, MI 49203
Phone (517) 782-2442

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1518544394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 E MOSHERVILLE RD",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492509798",
            "telephone_number": "517-962-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033799",
            "telephone_number": "517-782-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILMER",
        "first_name": "CHRISTOPHER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.