Organization Active NPI

The Anxiety Treatment Center of West Michigan, PLLC

  • Mental Health Counselor
  • Kalamazoo, MI
National Provider Identifier
1831617281
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401014495 Issued in MI
Legal business name
THE ANXIETY TREATMENT CENTER OF WEST MICHIGAN, PLLC
Practice address
350 E Michigan Ave
Kalamazoo, MI 49007-3800
Phone
(269) 270-6840
Fax
(269) 312-8781
NPI assigned
Sep 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Shawn Nabors, MA
Title
Executive Director
Phone
(269) 359-1873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6401014495 MI Primary

Addresses

Primary practice location

350 E Michigan Ave
Kalamazoo, MI 49007-3800

Mailing address

350 E Michigan Ave
17
Kalamazoo, MI 49007-3800
Phone (269) 270-6840

National Provider Directory

National Provider Directory

Locations

350 E Michigan Ave
Ste 17
Kalamazoo, MI 49007
Phone (269) 359-1873

350 E Michigan Ave
Kalamazoo, MI 49007
Phone (269) 598-2837

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831617281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E MICHIGAN AVE",
            "address_2": "17",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073800",
            "telephone_number": "269-270-6840",
            "fax_number": "269-312-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E MICHIGAN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073800",
            "telephone_number": "269-270-6840",
            "fax_number": "269-312-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ANXIETY TREATMENT CENTER OF WEST MICHIGAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NABORS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "269-359-1873",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.