Kimber Decker Counseling and Consultation PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KIMBER DECKER COUNSELING AND CONSULTATION PLLC

Practice address

4829 E Beltline Ave NE Ste 303
Grand Rapids, MI 49525-9350

Phone

(616) 320-4664

Fax

(833) 469-2110

NPI assigned

Jan 24, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Kimber Glenn Decker, MA LPCNPI 1144759655

Title

Owner, Ceo, Professional Counselor

Phone

(616) 320-4664

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Kimber Glenn Decker, MA

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1144759655
  NPD Authorized official

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1699427377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE STE 303",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259350",
            "telephone_number": "616-320-4664",
            "fax_number": "833-469-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE STE 303",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259350",
            "telephone_number": "616-320-4664",
            "fax_number": "833-469-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBER DECKER COUNSELING AND CONSULTATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "KIMBER",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER, CEO, PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "616-320-4664",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kimberdeckercounseling@gmail.com",
            "affiliation": "N",
            "address_1": "4829 E Beltline Ave NE Ste 303",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495259350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roderick Kim, M.D.
• Sean Seungwon Won Kim, DO
• Andrew Scott Kimball, M.D.
• Cynthia Louise Kimball, LMSW, ACSW, ACHP-SW
• Thomas R Kimball, DDS
• Kimberly Lichon-Tufer
• Elaina Marie Kimbrell, LMSW
• Angelia Kimbrough
• Jamiyah Monye Kimbrough
• Tanayea N Kimbrough

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.