Active NPI
Dewberry Counseling Services, LLC
- Professional Counselor
- Kalamazoo, MI
National Provider Identifier
1992476220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- DEWBERRY COUNSELING SERVICES, LLC
- Practice address
- 5455 Gull Rd Ste D169
Kalamazoo, MI 49048-7654 - Phone
- (616) 419-8586
- NPI assigned
- Sep 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Dewberry, PC
- Title
- Owner
- Phone
- (616) 419-8586
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
5455 Gull Rd Ste D169
Kalamazoo, MI 49048-7654
Mailing address
5455 Gull Rd Ste D169
Kalamazoo, MI 49048-7654
Phone (616) 419-8586
National Provider Directory
National Provider DirectoryLocations
5455 Gull Rd
Ste D169
Kalamazoo, MI 49048
Phone (616) 419-8586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632700800000",
"number": "1992476220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 GULL RD STE D169",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490487654",
"telephone_number": "616-419-8586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5455 GULL RD STE D169",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490487654",
"telephone_number": "616-419-8586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEWBERRY COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-27",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A",
"authorized_official_last_name": "DEWBERRY",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-419-8586",
"authorized_official_credential": "PC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"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 27, 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.