Organization Active NPI

K2A Counseling Services LLC

  • Mental Health Counselor
  • Three Rivers, MI
National Provider Identifier
1992101190
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
K2A COUNSELING SERVICES LLC
Practice address
801 N Main St
Three Rivers, MI 49093-2332
Phone
(269) 273-0606
Fax
(269) 273-0607
NPI assigned
Nov 15, 2014
Last updated
Mar 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Mrs. Anita Marie Wisser, MA LLP
Title
Owner/President
Phone
(269) 273-0606

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6301009129 MI
Mental Health Counselor 101YM0800X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

801 N Main St
Three Rivers, MI 49093-2332

Mailing address

801 N Main St
Three Rivers, MI 49093-2332
Phone (269) 273-0606

National Provider Directory

National Provider Directory

Locations

716 W Michigan Ave
Three Rivers, MI 49093
Phone (269) 273-0606

801 N Main St
Three Rivers, MI 49093
Phone (269) 273-0606

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1416009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1992101190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N MAIN ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490932332",
            "telephone_number": "269-273-0606",
            "fax_number": "269-273-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N MAIN ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490932332",
            "telephone_number": "269-273-0606",
            "fax_number": "269-273-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K2A COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-15",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "WISSER",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "269-273-0606",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA LLP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6301009129",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Three Rivers, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.