Individual provider Active NPI

Alexandra Jane Knoll, LLMFT, LLPC,

  • Mental Health Counselor
  • Kalamazoo, MI
National Provider Identifier
1518680040
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451022515 Issued in MI
Practice address
6963 W KL Ave Ste a
Kalamazoo, MI 49009-8043
Phone
(269) 719-0645
NPI assigned
Sep 20, 2022
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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 6451022515 MI Primary

Addresses

Primary practice location

6963 W KL Ave Ste a
Kalamazoo, MI 49009-8043

Mailing address

420 Whitcomb St
Kalamazoo, MI 49001-4273
Phone (269) 719-0645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meaningful Connections Counseling PLCGroup PAC ID 7416286778, 4 clinicians

Practice addresses (Care Compare)

6963 W KL Ave
Suite a
Kalamazoo, MI 49009-8043
Phone (269) 459-9790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6451022515MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meaningful Connections Counseling PLC CurrentSince Jan 15, 2025 Accepting new patients
Dorman and Associates PLC PastSince Sep 25, 2022 Accepting new patients

Locations

6963 W Kl Ave
#A
Kalamazoo, MI 49009
Phone (269) 459-9790

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": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1518680040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 WHITCOMB ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014273",
            "telephone_number": "269-719-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6963 W KL AVE STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098043",
            "telephone_number": "269-719-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLL",
        "first_name": "ALEXANDRA",
        "middle_name": "JANE",
        "credential": "LLMFT, LLPC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451022515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.