Kalamazoo Christian Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KALAMAZOO CHRISTIAN COUNSELING

Practice address

5550 Oakland Dr
Portage, MI 49024-1113

Phone

(269) 348-4331

NPI assigned

Mar 26, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia Ellen Grimmer, OTR, MA, LLPC

Title

Counselor

Phone

(269) 348-4331

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1629655451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 OAKLAND DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241113",
            "telephone_number": "269-348-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 OAKLAND DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241113",
            "telephone_number": "269-348-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "GRIMMER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "269-348-4331",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR, MA, LLPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Portage, MI
• Providers in Portage, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.