Individual provider Active NPI

Emily Lynn Lindsay, MA, LPC

  • Mental Health Counselor
  • Kalamazoo, MI
National Provider Identifier
1639666936
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401016566 Issued in MI
Practice address
3503 Greenleaf Blvd Ste 201
Kalamazoo, MI 49008-2580
Phone
(810) 252-8126
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301017362 MI
Mental Health Counselor 101YM0800X 6401016566 MI Primary

Addresses

Primary practice location

3503 Greenleaf Blvd Ste 201
Kalamazoo, MI 49008-2580

Mailing address

7633 Oakland Dr
Portage, MI 49024-4965
Phone (810) 252-8126

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401016566MIMDMental Health Counselor
6301017362MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Counseling, PLLC Professional CurrentSince Aug 4, 2024 Accepting new patients

Locations

3503 Greenleaf Blvd
Ste 201
Kalamazoo, MI 49008
Phone (269) 366-4595

Organizations & group practices 1

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1639666936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 OAKLAND DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244965",
            "telephone_number": "810-252-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 GREENLEAF BLVD STE 201",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082580",
            "telephone_number": "810-252-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSAY",
        "first_name": "EMILY",
        "middle_name": "LYNN",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301017362",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401016566",
            "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 Aug 1, 2024; 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.