Active NPI
Ian Warnsley
- Professional Counselor
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401222298
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401222298 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversified Psychological Services LLC | Multi-Specialty | Current | 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
- 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.
-
- Professional Counselor
- Kalamazoo, MI
- NPI 1538850037
Multi-Specialty
-
- Counseling Psychologist
- Portage, MI
- NPI 1922860170
Multi-Specialty
-
- Community/Behavioral Health Agency
- Kalamazoo, MI
- NPI 1518366285
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.