NPIMap

Organization Active NPI

Kalamazoo Probation Enhancement Program

Doing business as Kpep

  • Addiction (Substance Use Disorder) Counselor
  • Kalamazoo, MI
National Provider Identifier
1922498393
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
390145 Issued in MI
Legal business name
KALAMAZOO PROBATION ENHANCEMENT PROGRAM
Doing business as
Kpep
Practice address
519 S Park St
Kalamazoo, MI 49007-5117
Phone
(269) 383-0450
Fax
(269) 383-2066
NPI assigned
Jan 23, 2015
Last updated
Jan 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Mr. William Deboer
Title
President/Ceo
Phone
(269) 903-0510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 390145 MI Primary

Addresses

Primary practice location

519 S Park St
Kalamazoo, MI 49007-5117

Mailing address

519 S Park St
Kalamazoo, MI 49007-5117
Phone (269) 383-0450

Other names 1

  • KPEP Doing business as

National Provider Directory

National Provider Directory

Locations

519 S Park St
Kalamazoo, MI 49007
Phone (269) 383-0450

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1922498393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075117",
            "telephone_number": "269-383-0450",
            "fax_number": "269-383-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S PARK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075117",
            "telephone_number": "269-383-0450",
            "fax_number": "269-383-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO PROBATION ENHANCEMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "DEBOER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "269-903-0510",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "390145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KPEP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 23, 2015; 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.