Individual provider Active NPI

Sherry L Opalka, LMSW AND LPC

  • Addiction (Substance Use Disorder) Counselor
  • Kalamazoo, MI
National Provider Identifier
1669501326
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2-00738 Issued in MI
Practice address
821 W South St Ste C
Kalamazoo, MI 49007-4664
Phone
(269) 345-2621
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2-00738 MI Primary
Professional Counselor 101YP2500X 6401004533 MI
Clinical Social Worker 1041C0700X 6801059235 MI

Addresses

Primary practice location

821 W South St Ste C
Kalamazoo, MI 49007-4664

Mailing address

PO Box 19254
Kalamazoo, MI 49019-0254
Phone (269) 345-2621

Other identifiers 1

IdentifierTypeStateIssuer
8008918420OtherMIBLUE CROSS BLUE SHIELD

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
I20060207000275 MI Practitioner - Clinical Social Worker 5395750715 Practice locations: Kalamazoo, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3217 Greenleaf Blvd
Kalamazoo, MI 49008-2596
Phone (269) 303-1711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2-00738MIMDAddiction (Substance Use Disorder) Counselor
6401004533MIMDProfessional Counselor
6801059235MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Radiant Mind Professional Counseling Services, PLLC Clinical PastSince Sep 1, 2022 Accepting new patients
Health Psychology PC PastSince Mar 22, 2016 Accepting new patients

Organizations & group practices 2

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1669501326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19254",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490190254",
            "telephone_number": "269-345-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W SOUTH ST STE C",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074664",
            "telephone_number": "269-345-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPALKA",
        "first_name": "SHERRY",
        "middle_name": "L",
        "credential": "LMSW AND LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "2-00738",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401004533",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801059235",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8008918420",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.