Active NPI
Kendall Marcele Barry, LPC
- Mental Health Counselor
- Portage, MI
National Provider Identifier
1932537560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 614 Romence Rd
Portage, MI 49024-3613 - Phone
- (269) 615-7637
- NPI assigned
- Oct 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
614 Romence Rd
Portage, MI 49024-3613
Mailing address
1746 Grovenberg CT
Vicksburg, MI 49097-7776
Phone (269) 366-0161
Other practice location 1
1608 Lake St
Kalamazoo, MI 49001-3170
Phone (269) 910-8453
Other names 1
- Kendall Barry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 30, 2025 through Sep 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalamazoo Child and Family Counseling, PLLC | Past | Accepting new patients | |
| Kalamazoo Child and Family Counseling, PLLC | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Kalamazoo, MI
- NPI 1194692335
-
- Clinical Social Worker
- Portage, MI
- NPI 1306293105
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1932537560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1746 GROVENBERG CT",
"city": "VICKSBURG",
"state": "MI",
"postal_code": "490977776",
"telephone_number": "269-366-0161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 ROMENCE RD",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490243613",
"telephone_number": "269-615-7637"
}
],
"practiceLocations": [
{
"address_1": "1608 Lake St",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490013170",
"country_code": "US",
"telephone_number": "269-910-8453",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRY",
"first_name": "KENDALL",
"middle_name": "MARCELE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-16",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KENDALL",
"last_name": "BARRY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.