Active NPI
Kendra H Lindberg
- Counseling Psychologist
- Holland, MI
National Provider Identifier
1861704165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301014488
- Practice address
- 12978 James STR.
Ste 10
Holland, MI 49424 - Phone
- (616) 399-7005
- Fax
- (616) 399-7150
- NPI assigned
- Jul 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6301014488 | MI | Primary |
Addresses
Primary practice location
12978 James STR.
Ste 10
Holland, MI 49424
Mailing address
12978 James STR
Ste. 10
Holland, MI 49424
Phone (616) 399-7005
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014488 | MI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Psyiatric Services of Western Mi PC | Past | Accepting new patients |
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.
-
- Child & Adolescent Psychiatry Physician
- Holland, MI
- NPI 1013095454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1861704165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12978 JAMES STR",
"address_2": "STE. 10",
"city": "HOLLAND",
"state": "MI",
"postal_code": "49424",
"telephone_number": "616-399-7005",
"fax_number": "616-399-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12978 JAMES STR.",
"address_2": "STE 10",
"city": "HOLLAND",
"state": "MI",
"postal_code": "49424",
"telephone_number": "616-399-7005",
"fax_number": "616-399-7150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDBERG",
"first_name": "KENDRA",
"middle_name": "H",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-02",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301014488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.