Kevin Oliver

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401223414 Issued in MI

Practice address

1360 S Sheridan Dr
Muskegon, MI 49442-4462

Phone

(616) 245-4455

NPI assigned

Sep 10, 2019

Last updated

Oct 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hackley Community Care Center, Inc

  dba Three Oaks Charter Academy

  • Federally Qualified Health Center (FQHC)
  • Muskegon, MI
  • NPI 1629645072
  NPD (past)
• Martino Health & Wellness

  • Mental Health Counselor
  • Lowell, MI
  • NPI 1982416111
  NPD (past)

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1801445093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 S SHERIDAN DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494424462",
            "telephone_number": "616-245-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S SHERIDAN DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494424462",
            "telephone_number": "616-245-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2026-10-04",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401223414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Oginsky, PA
• Ifidon Emmanuel Ohiomah, MD
• Alexandria Lauren Okerstrom, PA-C
• Kristin Okopien, ORTL
• Sarah Kathryn Oleen-Carr
• Bruce Allen Olson, MD
• Jessica Linda Jean Olson
• Kylee Olson
• John Nicholas Oltean, DO
• Adnan Qasim Omran, DMD

• Mental Health Counselor in Muskegon, MI
• Providers in Muskegon, 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 Oct 4, 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.