Organization Active NPI

Dewberry Counseling Services, LLC

  • Professional Counselor
  • Kalamazoo, MI
National Provider Identifier
1992476220
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Sep 27, 2021

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.