Individual provider Active NPI

Ian Warnsley

  • Professional Counselor
  • Kalamazoo, MI
National Provider Identifier
1902156359
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401222298 Issued in MI
Practice address
201 W Kalamazoo Ave
Kalamazoo, MI 49007-3726
Phone
(269) 383-8840
NPI assigned
Sep 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401222298 MI Primary

Addresses

Primary practice location

201 W Kalamazoo Ave
Kalamazoo, MI 49007-3726

Mailing address

201 W Kalamazoo Ave
Kalamazoo, MI 49007-3726
Phone (269) 383-8840

Other practice location 1

5340 Holiday Ter
Kalamazoo, MI 49009-2196
Phone (269) 372-4140

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
I20231127000201 MI Practitioner - Mental Health Counselor 0143678557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5943 Stadium Dr
Suite 2
Kalamazoo, MI 49009-3016
Phone (754) 306-5191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401222298MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Psychological Services LLC Multi-Specialty CurrentSince Nov 1, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Multi-Specialty Current Accepting new patients
Braintrust Behavioral Health, LLC Past Accepting new patients

Locations

5340 Holiday Ter
Kalamazoo, MI 49009
Phone (269) 372-4140

5943 Stadium Dr
Ste 2
Kalamazoo, MI 49009
Phone (269) 303-5931

5943 Stadium Dr
Ste 1
Kalamazoo, MI 49009
Phone (269) 552-2836

1662 E Centre Ave
Ste B
Portage, MI 49002
Phone (269) 321-8564

1662 E Centre Ave
Portage, MI 49002
Phone (269) 321-8564

Interoperability endpoints

  • Direct secure messaging: ian.warnsley.1@28621.direct.athenahealth.com

Organizations & group practices 3

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": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1902156359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W KALAMAZOO AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073726",
            "telephone_number": "269-383-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W KALAMAZOO AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073726",
            "telephone_number": "269-383-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5340 Holiday Ter",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490092196",
            "country_code": "US",
            "telephone_number": "269-372-4140",
            "fax_number": "269-372-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNSLEY",
        "first_name": "IAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-13",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401222298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.