Carly Lacelle

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361007651 Issued in MI

Practice address

1611 W Centre Ave Ste 108
Portage, MI 49024-5344

Phone

(269) 366-8858

NPI assigned

Sep 11, 2019

Last updated

May 6, 2026By the provider in NPPES

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

Practice roles

Locations

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.

• Sonder Psychology and Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Portage, MI
  • NPI 1265320089
  NPD Authorized official
• Kalamazoo Psychology

  • Psychologist
  • Kalamazoo, MI
  • NPI 1306145420
  NPD (past)
• Kalamazoo Psychology, LLC

  • Counseling Psychologist
  • Kalamazoo, MI
  • NPI 1083879852
  NPD (past)

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1790334829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 W CENTRE AVE STE 108",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W CENTRE AVE STE 108",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245344",
            "telephone_number": "269-366-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACELLE",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007651",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301017883",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Kuiper
• Matthew Lars Kuiper, DO
• Sophia Kurnyak
• Kwong Orthodontics, PC
• Thomas Kwong, DDS, MS
• Melissa Elizabeth Lacharite, LPC
• Ronald Ken Ladouce, NP
• Corbett Lafrance, AT, ATC
• Corey J. Lager, MD
• Lakeshore Home Care, Inc.

• Psychologist in Portage, MI
• Providers in Portage, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.