Individual provider Active NPI

Kimberly Jo Hayward

  • Professional Counselor
  • Kalamazoo, MI
National Provider Identifier
1699316885
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401016352 Issued in MI
Practice address
5380 Holiday Ter Ste 28
Kalamazoo, MI 49009-2128
Phone
(906) 450-0100
Fax
(269) 459-9995
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401016352 MI Primary

Addresses

Primary practice location

5380 Holiday Ter Ste 28
Kalamazoo, MI 49009-2128

Mailing address

58381 Kristina Cir E
Paw Paw, MI 49079-8623

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
I20251006000259 MI Practitioner - Mental Health Counselor 9335645613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

58381 Kristina Cir E
Paw Paw, MI 49079-8623

6070 Newport Rd
Portage, MI 49002-9234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401016352MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kathy Piecuch Counseling Services Professional CurrentSince Sep 10, 2025 Accepting new patients
Kim Hayward Counseling Current Accepting new patients

Locations

5380 Holiday Ter
Ste 28
Kalamazoo, MI 49009
Phone (269) 303-3289

5380 Holiday Ter
Ste 47
Kalamazoo, MI 49009
Phone (269) 238-0222

6070 Newport Rd
Portage, MI 49002
Phone (269) 409-3000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1699316885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58381 KRISTINA CIR E",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490798623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 HOLIDAY TER STE 28",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092128",
            "telephone_number": "906-450-0100",
            "fax_number": "269-459-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWARD",
        "first_name": "KIMBERLY",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.