| Kalamazoo County Community Mental Health Authority | |
|
615 E Crosstown Pkwy Kalamazoo MI 49001-2501 | |
| (269) 553-7000 | |
| (269) 553-8012 |
| Full Name | Kalamazoo County Community Mental Health Authority |
|---|---|
| Speciality | Clinic/Center |
| Location | 615 E Crosstown Pkwy, Kalamazoo, Michigan |
| Authorized Official Name and Position | Pat Davis (DEPUTY DIRECTOR) |
| Authorized Official Contact | 2695538017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalamazoo County Community Mental Health Authority 2030 Portage St Kalamazoo MI 49001-3836 Ph: (269) 553-7000 | Kalamazoo County Community Mental Health Authority 615 E Crosstown Pkwy Kalamazoo MI 49001-2501 Ph: (269) 553-7000 |
| NPI Number | 1710066253 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 5890730337 |
|---|---|
| Medicare Enrollment ID | O20050624000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710066253 | NPI | - | NPPES |
| 4352736 | Medicaid | MI |
| Provider Name | Maritza E Lagos Saez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124097555 PECOS PAC ID: 8628976297 Enrollment ID: I20031222000295 |
| Provider Name | Debra S Schauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275614208 PECOS PAC ID: 8325039399 Enrollment ID: I20040519000651 |
| Provider Name | Gopal K Bedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316976608 PECOS PAC ID: 2163475930 Enrollment ID: I20050222000570 |
| Provider Name | James L Jump |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972931913 PECOS PAC ID: 0244275667 Enrollment ID: I20050624000962 |
| Provider Name | Richard Myers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316984354 PECOS PAC ID: 2961420682 Enrollment ID: I20051110000461 |
| Provider Name | Chetan M Vyas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437172244 PECOS PAC ID: 8628090107 Enrollment ID: I20051227000522 |
| Provider Name | Megan Trottier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609959980 PECOS PAC ID: 9638186612 Enrollment ID: I20060316000037 |
| Provider Name | Nancy Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376578989 PECOS PAC ID: 1355348038 Enrollment ID: I20061024000090 |
| Provider Name | Julia Ailabouni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376676270 PECOS PAC ID: 8325144595 Enrollment ID: I20070504000021 |
| Provider Name | Eric D Achtyes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780665976 PECOS PAC ID: 0648362343 Enrollment ID: I20070827000376 |
| Provider Name | Paulette L Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831398379 PECOS PAC ID: 8729171764 Enrollment ID: I20070906000562 |
| Provider Name | Shirley J Kocur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134194566 PECOS PAC ID: 9436247459 Enrollment ID: I20071108000446 |
| Provider Name | Andrea M Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548449150 PECOS PAC ID: 6103907225 Enrollment ID: I20080115000500 |
| Provider Name | Raquel L Deanda-ring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245491760 PECOS PAC ID: 1850463282 Enrollment ID: I20080630000672 |
| Provider Name | Joanna B Pratt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780858787 PECOS PAC ID: 5597839597 Enrollment ID: I20080809000050 |
| Provider Name | Leah N Barber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801030838 PECOS PAC ID: 7113077991 Enrollment ID: I20090617000196 |
| Provider Name | Steven D Klamerus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538159264 PECOS PAC ID: 6901922335 Enrollment ID: I20100923000194 |
| Provider Name | Gwendolyn Abney-cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699883504 PECOS PAC ID: 8820280969 Enrollment ID: I20101007001380 |
| Provider Name | Valrie M Honablue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205860178 PECOS PAC ID: 0840233474 Enrollment ID: I20110919000351 |
| Provider Name | Kristine L Van Huis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588948715 PECOS PAC ID: 5294900023 Enrollment ID: I20111206000853 |
| Provider Name | Susan L Rood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114227543 PECOS PAC ID: 4587814215 Enrollment ID: I20121015000678 |
| Provider Name | Mauli A Verma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134322308 PECOS PAC ID: 7214177005 Enrollment ID: I20130627000523 |
| Provider Name | Atis Kleinbergs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255777686 PECOS PAC ID: 3678713120 Enrollment ID: I20130708000098 |
| Provider Name | Margot Lynne Chadwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619213451 PECOS PAC ID: 8628203205 Enrollment ID: I20131107000807 |
| Provider Name | Elizabeth Marie Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700156940 PECOS PAC ID: 4688802572 Enrollment ID: I20140123000793 |
| Provider Name | Margaret O Ajayi Nabors |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336311257 PECOS PAC ID: 3870725237 Enrollment ID: I20140609000333 |
| Provider Name | Corinne A Overmyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740621630 PECOS PAC ID: 4587883350 Enrollment ID: I20140910001792 |
| Provider Name | Syed Q Quadri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821317991 PECOS PAC ID: 9335466192 Enrollment ID: I20150317000355 |
| Provider Name | Jamie R Campeau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114256526 PECOS PAC ID: 6305164815 Enrollment ID: I20150414000373 |
| Provider Name | Leah R Keller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568849099 PECOS PAC ID: 3870814445 Enrollment ID: I20150608001946 |
| Provider Name | Lyndsay R Nuyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801205315 PECOS PAC ID: 0244551547 Enrollment ID: I20150611000378 |
| Provider Name | Vegas V. Coleman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629247267 PECOS PAC ID: 0345327995 Enrollment ID: I20150922002207 |
| Provider Name | Alexandra M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942581731 PECOS PAC ID: 6002107596 Enrollment ID: I20160613002151 |
| Provider Name | Ikenna Obasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750649455 PECOS PAC ID: 9739337668 Enrollment ID: I20160909001605 |
| Provider Name | Marija Petrovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225138530 PECOS PAC ID: 9739281700 Enrollment ID: I20170214002631 |
| Provider Name | Ondrej Chudoba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285724906 PECOS PAC ID: 8022055771 Enrollment ID: I20170425001711 |
| Provider Name | Jonathon Lee Dozeman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851650642 PECOS PAC ID: 9931349057 Enrollment ID: I20170915002151 |
| Provider Name | Ruby Rodgers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437543949 PECOS PAC ID: 6901166701 Enrollment ID: I20180215001007 |
| Provider Name | Sam Page |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528459443 PECOS PAC ID: 3971858648 Enrollment ID: I20180620002664 |
| Provider Name | Annabelle K Dampier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164785614 PECOS PAC ID: 5193038966 Enrollment ID: I20180725000317 |
| Provider Name | Ryan P Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588937023 PECOS PAC ID: 1557613023 Enrollment ID: I20181010003150 |
| Provider Name | Laura Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952844821 PECOS PAC ID: 4486907011 Enrollment ID: I20181030000758 |
| Provider Name | Diane L Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295261451 PECOS PAC ID: 2769726983 Enrollment ID: I20181129000319 |
| Provider Name | Teresa M Moser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851680755 PECOS PAC ID: 4981948668 Enrollment ID: I20181206002197 |
| Provider Name | John S Jacob |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346690948 PECOS PAC ID: 6709172042 Enrollment ID: I20190125001668 |
| Provider Name | Mariah Conklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790239804 PECOS PAC ID: 7012255623 Enrollment ID: I20190206001358 |
| Provider Name | Rochelle N Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467926592 PECOS PAC ID: 1557601853 Enrollment ID: I20190325000789 |
| Provider Name | Jacob Weintraub |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508815689 PECOS PAC ID: 1052652021 Enrollment ID: I20190402000073 |
| Provider Name | Ryan L Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891131603 PECOS PAC ID: 6901147529 Enrollment ID: I20190409001900 |
| Provider Name | Victoria Orbe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922467695 PECOS PAC ID: 5698008613 Enrollment ID: I20190606001680 |
| Provider Name | Chalonda Dwyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003466376 PECOS PAC ID: 8820421076 Enrollment ID: I20191203000599 |
| Provider Name | Renee Lynne Peterman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558840686 PECOS PAC ID: 3173944030 Enrollment ID: I20200601001243 |
| Provider Name | Sherry Byers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538510136 PECOS PAC ID: 4183032774 Enrollment ID: I20210420002321 |
| Provider Name | Sara Alison Hotrum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033519509 PECOS PAC ID: 4880094051 Enrollment ID: I20210609000988 |
| Provider Name | Mandy Braelyn Rowley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871959221 PECOS PAC ID: 5092115667 Enrollment ID: I20210618000946 |
| Provider Name | Martha Sue Schinagle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295809309 PECOS PAC ID: 3779555172 Enrollment ID: I20210726001969 |
| Provider Name | Adam Brazionis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790287894 PECOS PAC ID: 1759779994 Enrollment ID: I20211021000184 |
| Provider Name | Ashley Trabbic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184193211 PECOS PAC ID: 0749679553 Enrollment ID: I20211117001600 |
| Provider Name | Precious Monique Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235620527 PECOS PAC ID: 5890117287 Enrollment ID: I20211230002064 |
| Provider Name | Rachael Catherine Holbert-sing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073172987 PECOS PAC ID: 2961894126 Enrollment ID: I20220120000126 |
| Provider Name | Alyssa Jontae Trager |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952929473 PECOS PAC ID: 3678968567 Enrollment ID: I20220310002286 |
| Provider Name | John Pelletier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811380348 PECOS PAC ID: 9133514490 Enrollment ID: I20220323001600 |
| Provider Name | Christine Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962853705 PECOS PAC ID: 1254727373 Enrollment ID: I20220329002258 |
| Provider Name | Bailey Marie Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629699459 PECOS PAC ID: 6103213632 Enrollment ID: I20220430000242 |
| Provider Name | Raeana Shante Donaldson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013513696 PECOS PAC ID: 4082091756 Enrollment ID: I20220518001792 |
| Provider Name | Michelle Colpean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750739835 PECOS PAC ID: 7315327350 Enrollment ID: I20220707002726 |
| Provider Name | Krisanne M Cravens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518606003 PECOS PAC ID: 5395127625 Enrollment ID: I20220803003030 |
| Provider Name | Shanika H. Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215583158 PECOS PAC ID: 9931519931 Enrollment ID: I20220824002687 |
| Provider Name | Sasha Vanessa Ospina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871155077 PECOS PAC ID: 6608251616 Enrollment ID: I20220912002233 |
| Provider Name | Jessica Jean Hempston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255921896 PECOS PAC ID: 1052796695 Enrollment ID: I20220916002351 |
| Provider Name | Katelyn Root |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023597267 PECOS PAC ID: 5698151785 Enrollment ID: I20220927001450 |
| Provider Name | Darcy L. Buchoz-bos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689142325 PECOS PAC ID: 6103296041 Enrollment ID: I20230110001673 |
| Provider Name | Brooke Elizabeth Mckenzie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063072080 PECOS PAC ID: 7416328042 Enrollment ID: I20230119000128 |
| Provider Name | Frank Antonio Mcginnis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134680408 PECOS PAC ID: 4284005281 Enrollment ID: I20230131001524 |
| Provider Name | Sarah Barr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285182568 PECOS PAC ID: 9638542319 Enrollment ID: I20230228000410 |
| Provider Name | Jessica Boss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609235621 PECOS PAC ID: 7517332760 Enrollment ID: I20230331001769 |
| Provider Name | Christopher Lee Lynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245623776 PECOS PAC ID: 5991160327 Enrollment ID: I20230508001390 |
| Provider Name | Amy Louise Perricone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194463745 PECOS PAC ID: 3274994140 Enrollment ID: I20230726000249 |
| Provider Name | Jennifer Anne Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356965578 PECOS PAC ID: 6901268978 Enrollment ID: I20230809000231 |
| Provider Name | Kelsey Renee Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639711013 PECOS PAC ID: 3476916354 Enrollment ID: I20230824002847 |
| Provider Name | Tina Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619481934 PECOS PAC ID: 7315301207 Enrollment ID: I20230911003529 |
| Provider Name | Rachel Potesta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740794528 PECOS PAC ID: 1052766896 Enrollment ID: I20231013000694 |
| Provider Name | Shelbey Watson-beasley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932899093 PECOS PAC ID: 4587013081 Enrollment ID: I20231208003052 |
| Provider Name | Megan Marie Heidema |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861182354 PECOS PAC ID: 6709235229 Enrollment ID: I20231209000361 |
| Provider Name | Rashida Al-gharib |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588055768 PECOS PAC ID: 4587013461 Enrollment ID: I20231218003239 |
| Provider Name | Timothy Kanaan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346775269 PECOS PAC ID: 0143566380 Enrollment ID: I20231219000298 |
| Provider Name | Susan D Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639405020 PECOS PAC ID: 1951751882 Enrollment ID: I20231219001257 |
| Provider Name | Shakari D Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407399629 PECOS PAC ID: 4981054848 Enrollment ID: I20231219002493 |
| Provider Name | Mary Kathleen Huffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568063642 PECOS PAC ID: 3375993249 Enrollment ID: I20231219002815 |
| Provider Name | Esmeralda Marin Gallegos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275067167 PECOS PAC ID: 3870943756 Enrollment ID: I20231219003040 |
| Provider Name | Karlie Ranea Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992578090 PECOS PAC ID: 4284084039 Enrollment ID: I20231220002084 |
| Provider Name | Victor Kesselly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861060105 PECOS PAC ID: 9537519384 Enrollment ID: I20231220002141 |
| Provider Name | Victoria Mcduffey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154937746 PECOS PAC ID: 0143671149 Enrollment ID: I20240103003713 |
| Provider Name | Angela M Byczynski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205068707 PECOS PAC ID: 0345691945 Enrollment ID: I20240108005929 |
| Provider Name | Karla James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598428997 PECOS PAC ID: 3779934138 Enrollment ID: I20240110001526 |
| Provider Name | Autumn Elizabeth Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558608042 PECOS PAC ID: 1850743386 Enrollment ID: I20240119001651 |
| Provider Name | Timothy L Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639682099 PECOS PAC ID: 5395189096 Enrollment ID: I20240221002993 |
True2u Counseling Llp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4000 Portage St Ste 111, Kalamazoo, MI 49001 Phone: 269-365-0128 | |
Dawn Wood Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3503 Greenleaf Blvd Ste 202, Kalamazoo, MI 49008 Phone: 269-808-0160 | |
David L. Thayer, Psy.d.,p.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W South St, Suite D, Kalamazoo, MI 49007 Phone: 269-501-3493 Fax: 269-344-5973 | |
Barbara W. Gustin, Lmsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2001 Hudson Ave, Kalamazoo, MI 49008 Phone: 269-352-6644 | |
Jennifer Langeland Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S Rose St Apt 401, Kalamazoo, MI 49007 Phone: 269-330-4695 | |
Rootead Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Fulford St, Kalamazoo, MI 49001 Phone: 269-358-8670 | |
Restorative Solutions Counseling And Consulting Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2031 Rambling Rd Ste 1, Kalamazoo, MI 49008 Phone: 269-224-2791 |