Kalamazoo Christian Counseling
Clinic/Center, Mental Health (Including Community Mental Health Center) in Portage, MI. Organization (NPI-2).
Details
- NPI
- 1629655451
- Entity type
- Organization (NPI-2)
- Legal business name
- Kalamazoo Christian Counseling
- Organization subpart
- No
- Enumeration date
- Mar 26, 2021
- Certification date
- Mar 26, 2021
- Last updated
- Mar 26, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
5550 Oakland DrPortage, MI 49024-1113
Phone 269-348-4331
Mailing address
5550 Oakland DrPortage, MI 49024-1113
Phone 269-348-4331
Authorized official
Cynthia Ellen Grimmer
Counselor
2693484331
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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