Individual provider Active NPI

Edwin H Lindberg, LMSW, LMFT, BCD

  • Marriage & Family Therapist
  • Kalamazoo, MI
National Provider Identifier
1942265012
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101005537 Issued in MI
Practice address
5100 Lovers LN
Kalamazoo, MI 49002-1558
Phone
(269) 352-7216
Fax
(269) 388-2346
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801019222 MI
Marriage & Family Therapist 106H00000X 4101005537 MI Primary

Addresses

Primary practice location

5100 Lovers LN
Kalamazoo, MI 49002-1558

Mailing address

5100 Lovers LN
Kalamazoo, MI 49002-1558
Phone (269) 352-7216

Other identifiers 1

IdentifierTypeStateIssuer
3402136MedicaidMI

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
I20110118000785 MI Practitioner - Clinical Social Worker 2567406770 Practice locations: Portage, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Michigan Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6100 Newport Rd
Suite 204
Portage, MI 49002-9235
Phone (269) 352-7216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4101005537MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kalamazoo Clinical Associates, P.C. Clinical PastSince Jan 1, 2004 Accepting new patients

Organizations & group practices 1

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942265012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 LOVERS LN",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490021558",
            "telephone_number": "269-352-7216",
            "fax_number": "269-388-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 LOVERS LN",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490021558",
            "telephone_number": "269-352-7216",
            "fax_number": "269-388-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBERG",
        "first_name": "EDWIN",
        "middle_name": "H",
        "credential": "LMSW, LMFT, BCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801019222",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101005537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3402136",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.