Kim Michelle Childress, - Counselor in Grandville, MI

Kim Michelle Childress, is a Counselor - Professional based in Grandville, Michigan. Kim Michelle Childress is licensed to practice in Michigan (license number 6401015430) and her current practice location is 4565 Wilson Ave Sw Ste 3a, Grandville, Michigan. She can be reached at her office (for appointments etc.) via phone at (616) 466-3107.

NPI number for Kim Michelle Childress is 1124410808 and her current mailing address is 1939 S Division Ave, Grand Rapids, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124410808.

Contact Information

Kim Michelle Childress,
4565 Wilson Ave Sw Ste 3a,
Grandville, MI 49418
(616) 466-3107
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKim Michelle Childress
GenderFemale
SpecialityCounselor - Professional
Location4565 Wilson Ave Sw Ste 3a, Grandville, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124410808
  • Provider Enumeration Date: 03/04/2015
  • Last Update Date: 10/17/2018

Medical Identifiers

Medical identifiers for Kim Michelle Childress such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124410808NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 6401015430 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim Michelle Childress is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kim Michelle Childress,
1939 S Division Ave,
Grand Rapids, MI 49507

Ph: (616) 247-3815
Kim Michelle Childress,
4565 Wilson Ave Sw Ste 3a,
Grandville, MI 49418

Ph: (616) 466-3107

Reviews and Comments


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Lisbet Brito, LPC
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Medicare: Not Enrolled in Medicare
Practice Location: 4565 Wilson Ave Sw Ste 4a, Grandville, MI 49418
Phone: 616-591-9000    Fax: 616-432-3059

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.