Individual provider Active NPI

Lisa M Bailey, LLPC

  • Counselor
  • Kalamazoo, MI
National Provider Identifier
1861276503
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6451022852 Issued in MI
Practice address
6963 W KL Ave Ste a
Kalamazoo, MI 49009-8043
Phone
(269) 459-9790
Fax
(269) 459-9791
NPI assigned
Aug 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6451022852 MI Primary

Addresses

Primary practice location

6963 W KL Ave Ste a
Kalamazoo, MI 49009-8043

Mailing address

6963 W KL Ave Ste a
Kalamazoo, MI 49009-8043
Phone (269) 459-9790

Other practice location 1

101 N Fountain St
Marshall, MI 49068-2131
Phone (269) 789-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6451022852MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meaningful Connections Counseling PLC CurrentSince Mar 17, 2024 Accepting new patients
Dorman and Associates PLC PastSince Mar 17, 2024 Accepting new patients

Locations

6963 W Kl Ave
#A
Kalamazoo, MI 49009
Phone (269) 459-9790

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": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1861276503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6963 W KL AVE STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098043",
            "telephone_number": "269-459-9790",
            "fax_number": "269-459-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6963 W KL AVE STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098043",
            "telephone_number": "269-459-9790",
            "fax_number": "269-459-9791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Fountain St",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MI",
            "postal_code": "490682131",
            "country_code": "US",
            "telephone_number": "269-789-8866",
            "fax_number": "517-924-8866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451022852",
            "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 Mar 14, 2024; 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.