Individual provider Active NPI

Micah N Makoni, LLMSW

  • Mental Health Counselor
  • Kalamazoo, MI
National Provider Identifier
1659072510
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6851116112 Issued in MI
Practice address
1004 Gayle Ave
Kalamazoo, MI 49048-2125
Phone
(816) 400-6542
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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 6851116112 MI Primary

Addresses

Primary practice location

1004 Gayle Ave
Kalamazoo, MI 49048-2125

Mailing address

5603 Gull Prairie Way
Kalamazoo, MI 49048-3009
Phone (816) 400-6542

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

State licenses

LicenseStateTypeSpecialty
6851116112MIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1659072510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 GULL PRAIRIE WAY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490483009",
            "telephone_number": "816-400-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 GAYLE AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490482125",
            "telephone_number": "816-400-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKONI",
        "first_name": "MICAH",
        "middle_name": "N",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6851116112",
            "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 Mar 16, 2023; 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.