Organization Active NPI

Larkspur Mental Wellness PLLC

  • Counselor
  • Kalamazoo, MI
National Provider Identifier
1669102497
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
LARKSPUR MENTAL WELLNESS PLLC
Practice address
5955 W Main St
Kalamazoo, MI 49009-8700
Phone
(269) 251-3272
Fax
(269) 210-2697
NPI assigned
Jun 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Christina Gayle Collins, LPCNPI 1154988509
Title
Owner
Phone
(269) 251-3272

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

5955 W Main St
Kalamazoo, MI 49009-8700

Mailing address

239 E Michigan Ave # 302
Paw Paw, MI 49079-1427
Phone (269) 251-3272

National Provider Directory

National Provider Directory

Locations

239 E Michigan Ave
Paw Paw, MI 49079

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1669102497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 E MICHIGAN AVE # 302",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791427",
            "telephone_number": "269-251-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 W MAIN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098700",
            "telephone_number": "269-251-3272",
            "fax_number": "269-210-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARKSPUR MENTAL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-251-3272",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "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 16, 2022; 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.