NPIMap

Organization Active NPI

Willow Path Counseling Services

  • Community/Behavioral Health Agency
  • Kalamazoo, MI
National Provider Identifier
1568997054
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801091193 Issued in MI
Legal business name
WILLOW PATH COUNSELING SERVICES
Practice address
5725 Venture Park Dr Ste B
Kalamazoo, MI 49009-2816
Phone
(269) 355-0725
NPI assigned
Apr 22, 2017
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Stacey Fox, LMSWNPI 1952674699
Title
Owner
Phone
(269) 355-0725

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801091193 MI Primary

Addresses

Primary practice location

5725 Venture Park Dr Ste B
Kalamazoo, MI 49009-2816

Mailing address

5725 Venture Park Dr Ste B
Kalamazoo, MI 49009-2816
Phone (269) 355-0725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170706002915 MI Part B Supplier - Clinic/Group Practice 2163791146 Receives reassigned benefits from 4 practitioners
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory

Locations

2555 S 11th St
Ste B
Kalamazoo, MI 49009
Phone (269) 355-0725

5725 Venture Park Dr
Ste B
Kalamazoo, MI 49009
Phone (269) 355-0725

8089 Stadium Dr
Ste A
Kalamazoo, MI 49009
Phone (269) 355-0725

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1568997054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 VENTURE PARK DR STE B",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092816",
            "telephone_number": "269-355-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 VENTURE PARK DR STE B",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092816",
            "telephone_number": "269-355-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW PATH COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-22",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-355-0725",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801091193",
            "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 Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.