Constance A Black-Pond

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401001080 Issued in MI

Practice address

4000 Portage St
Suite 210
Kalamazoo, MI 49001-6900

Phone

(269) 373-6447

NPI assigned

Aug 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679582548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 CHERRYVIEW DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49024",
            "telephone_number": "269-373-6447",
            "fax_number": "269-373-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 PORTAGE ST",
            "address_2": "SUITE 210",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490016900",
            "telephone_number": "269-373-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK-POND",
        "first_name": "CONSTANCE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401001080",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801059966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Bivens
• Dustin Anthony Bivins, DO
• Ashton Bjork
• BJR Ventures LLC
• Black Cat Counseling PLC
• Maureen Mikho Blackburn, DDS
• Kayla Blackford
• Eric Scott Blackwell, M.D.
• Rebecca M Blades, NP
• Kari Lynn Blair, NNP-BC

• Mental Health Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.