Individual provider Active NPI

Paul Michael Kiger, LMSW, CAADC

  • Counselor
  • Grand Rapids, MI
National Provider Identifier
1659635647
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6801094439 Issued in MI
Practice address
359 Division Ave S
Grand Rapids, MI 49503-4537
Phone
(616) 685-3800
NPI assigned
Jun 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6801094439 MI Primary

Addresses

Primary practice location

359 Division Ave S
Grand Rapids, MI 49503-4537

Mailing address

103 Rosemary St SE
Grand Rapids, MI 49507-3449
Phone (616) 430-6267

Other practice location 1

901 Eastern Ave NE
Grand Rapids, MI 49503-1201
Phone (616) 224-7484

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180827000690 MI Practitioner - Clinical Social Worker 3971852831 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of West Michigan, LLC CurrentSince Jan 6, 2020 Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince Aug 20, 2018 Accepting new patients
Advantage Health/Saint Mary'S Medical Group Current Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince Aug 20, 2018 Accepting new patients
Virtuwell Therapy, LLC PastSince Feb 4, 2024 Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

233 Fulton St E
Ste 526
Grand Rapids, MI 49503
Phone (616) 426-9193

359 Division Ave S
Grand Rapids, MI 49503
Phone (616) 643-3800

333 Bridge St NW
Ste 1120
Grand Rapids, MI 49504
Phone 61680536601005

1900 44th St SE
Kentwood, MI 49508
Phone (616) 685-8500

65 S Main St
Ste A
Rockford, MI 49341

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1659635647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ROSEMARY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073449",
            "telephone_number": "616-430-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 DIVISION AVE S",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034537",
            "telephone_number": "616-685-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Eastern Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495031201",
            "country_code": "US",
            "telephone_number": "616-224-7484",
            "fax_number": "616-224-7593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIGER",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6801094439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.