Individual provider Active NPI

Julie McKinstry Waldron, MA

  • Professional Counselor
  • Portage, MI
National Provider Identifier
1841672813
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401008024 Issued in MI
Practice address
1611 W Centre Ave Ste 211
Portage, MI 49024-5344
Phone
(269) 203-5933
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401008024 MI Primary
Counseling Psychologist 103TC1900X 6301011513 MI

Addresses

Primary practice location

1611 W Centre Ave Ste 211
Portage, MI 49024-5344

Mailing address

624 S 2ND St
Kalamazoo, MI 49009-5356
Phone (269) 203-5933

Other names 1

  • Ms. Julie Anne McKinstry Former name

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
I20240523002023 MI Practitioner - Mental Health Counselor 0547617383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5955 W Main St
Kalamazoo, MI 49009-9101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301011513MIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope & Healing Therapy Services LLC Professional CurrentSince Oct 14, 2023 Accepting new patients
Mapleview Consultation Center PC Psychologist PastSince Mar 21, 2026 Accepting new patients

Locations

5955 W Main St
Kalamazoo, MI 49009
Phone (269) 203-5933

1611 W Centre Ave
Ste 211
Portage, MI 49024

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1841672813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 S 2ND ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095356",
            "telephone_number": "269-203-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W CENTRE AVE STE 211",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245344",
            "telephone_number": "269-203-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "JULIE",
        "middle_name": "MCKINSTRY",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008024",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301011513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MCKINSTRY",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.