Individual provider Active NPI

Kelly Ann Machiorlatti, MA, LPC

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1699585737
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451024729 Issued in MI
Practice address
80 Ottawa Ave NW Ste 425
Grand Rapids, MI 49503-2648
Phone
(616) 920-0022
Fax
(616) 616-5680
NPI assigned
Jan 10, 2025
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6451024729 MI Primary

Addresses

Primary practice location

80 Ottawa Ave NW Ste 425
Grand Rapids, MI 49503-2648

Mailing address

2127 Michigan St NE
Grand Rapids, MI 49503-2114
Phone (616) 617-7378

Other practice location 1

2220 Wealthy St SE
East Grand Rapids, MI 49506-3016
Phone (616) 277-7533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6451024729MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Journey PLLC CurrentSince Jan 12, 2025 Accepting new patients

Locations

2013 Eastcastle Dr SE
Ste B
Kentwood, MI 49508
Phone (616) 204-0308

Organizations & group practices 1

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": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1699585737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032114",
            "telephone_number": "616-617-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 OTTAWA AVE NW STE 425",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032648",
            "telephone_number": "616-920-0022",
            "fax_number": "616-616-5680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 Wealthy St SE",
            "address_purpose": "LOCATION",
            "city": "East Grand Rapids",
            "state": "MI",
            "postal_code": "495063016",
            "country_code": "US",
            "telephone_number": "616-277-7533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACHIORLATTI",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451024729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.