Individual provider Active NPI

Kristen Badra, LPC

  • Professional Counselor
  • Kalamazoo, MI
National Provider Identifier
1811046279
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401017914 Issued in MI
Practice address
2615 Stadium Drive
Kalamazoo, MI 49008-1654
Phone
(269) 343-1651
Fax
(269) 382-7078
NPI assigned
Jan 8, 2007
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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 6401017914 MI Primary

Addresses

Primary practice location

2615 Stadium Drive
Kalamazoo, MI 49008-1654

Mailing address

2615 Stadium Drive
Kalamazoo, MI 49008-1654
Phone (269) 343-1651

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
I20240422001153 MI Practitioner - Mental Health Counselor 0446699656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restorative Therapy and Counseling ServicesGroup PAC ID 5193114635, 13 clinicians

Practice addresses (Care Compare)

246 E Kilgore Rd
Portage, MI 49002-0507
Phone (269) 249-7179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Therapy & Counseling Services CurrentSince Mar 17, 2024 Accepting new patients

Locations

246 E Kilgore Rd
Portage, MI 49002
Phone (269) 249-7179

800 E Milham Ave
Portage, MI 49002
Phone (269) 249-7179

800 E Milham Ave
Ste 200
Portage, MI 49002
Phone (269) 249-7179

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1811046279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 STADIUM DRIVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081654",
            "telephone_number": "269-343-1651",
            "fax_number": "269-382-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 STADIUM DRIVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081654",
            "telephone_number": "269-343-1651",
            "fax_number": "269-382-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADRA",
        "first_name": "KRISTEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.