Kim Karol Janis, M.S., LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361007869 Issued in MI

Practice address

3230 Broadmoor Ave SE Ste D
Kentwood, MI 49512-8180

Phone

(616) 862-5603

NPI assigned

Feb 22, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Hope Network Behavioral Health Services

  • Mental Illness Community Based Residential Treatment Facility
  • Nunica, MI
  • NPI 1043295934
  NPD (past)
• Hope Network Behavioral Health Services

  • Child & Adolescent Psychiatry Physician
  • Grand Rapids, MI
  • NPI 1104128602
  NPD (past)

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1891234902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 BROADMOOR AVE SE STE D",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495128180",
            "telephone_number": "616-862-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 BROADMOOR AVE SE STE D",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495128180",
            "telephone_number": "616-862-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIS",
        "first_name": "KIM",
        "middle_name": "KAROL",
        "credential": "M.S., LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jackson
• Jade & Jasper Counseling LLC
• Jag Transportation of Grand Rapids
• McKalen Lamont Jambor, BT
• Andrew P Jameson, MD
• Jade-Olivia Janney
• Kathryn I Jaramillo, LPC
• Shayla Jarrett
• Jameson Daniel Jasper
• Jeanna Boase, LLC

• Psychologist in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.