Karen C Alvarez, LPC, LLP
Individual provider Active NPI Professional Counselor · Portage, MI
NPI 1831451608 · NPPES record last updated Sep 11, 2021
Key facts
- NPI
- 1831451608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401010617 (MI)
- Practice address
- 1125 E Milham Ave Ste B
Portage, MI 49002-3096 - Phone
- (269) 312-1446
- Fax
- (269) 775-1079
- NPI assigned
- Jun 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231215000484 | MI | Practitioner - Mental Health Counselor | 3678858214 | Reassigns benefits to 1 organization |
| I20240708002650 | AZ | Practitioner - Mental Health Counselor | 3678858214 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013906 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serene Solutions | Professional | Current |
Accepting new patients |
| Pioneer Hospitalists, PLLC | Past | Accepting new patients |
Locations
3100 W Ray Rd
Ste 201
Chandler, AZ 85226
Phone (269) 312-1446
4341 S Westnedge Ave
Ste 1106
Kalamazoo, MI 49008
Phone (269) 312-1446
1125 E Milham Ave
Ste B
Portage, MI 49002
Phone (269) 312-1446
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301013906 | MI | |
| Professional Counselor | 101YP2500X | 6401010617 | MI | Yes |
Addresses
Primary practice location
1125 E Milham Ave Ste B
Portage, MI 49002-3096
Mailing address
PO Box 2174
Kalamazoo, MI 49003-2174
Phone (269) 303-2521
Other practice location 1
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-4858
Other practice location 2
4341 S Westnedge Ave Ste 1106
Kalamazoo, MI 49008-3283
Phone (269) 303-2521
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831451608 | Medicaid | MI |
Other providers in Portage, MI
- Tempest A Allen
- Frank Alley
- Julie Allison
- Alpenglow Mental Health
- Taylor Alpert
- Paige N Alvarez
- Am Counseling Services PLLC
- Nancy Diane Ambs
- America'S Best Contacts & Eyeglasses
- Vaishali Anand
All providers in Portage, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.