LILLISAGE THERAPY COLLECTIVE (NPI# 1295383685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295383685 |
| Entity Type | Organization |
| Organization Name | LILLISAGE THERAPY COLLECTIVE |
| Practice Address |
2001 Hudson Ave Kalamazoo MI 49008-1889 |
| Mailing Address |
819 Worden Ave Kalamazoo MI 49048-9008 |
| Practice Telephone | 6164853766 |
| Mailing Telephone | 6164853766 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | MS. KELSEY NIMMO (OWNER) |
| Authorized Official Telephone | 6164853766 |
| Authorized Official Credential | MA, LPC, LLMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Kalamazoo Therapy Group | Doing Business As Name - Organization |
| Street Address |
2001 HUDSON AVE |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008-1889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790767556 | Pamela Rae Poley | Social Worker | 2001 Hudson Ave, Suite A, Kalamazoo, MI 49008-1889 | 2005-11-17 |
| 1467816223 | New Light Counseling LLC | Social Worker | 2001 Hudson Ave, Kalamazoo, MI 49008-1889 | 2016-04-07 |
| 1407265663 | Ellis Therapy Associates | Counselor | 2001 Hudson Ave, Kalamazoo, MI 49008-1889 | 2014-08-12 |
| 1316095425 | Carolyn Jayne Heineman | Psychologist | 2001 Hudson Ave, Kalamazoo, MI 49008-1889 | 2007-01-08 |
| 1659444347 | Elizabeth Kay Greydanus | Social Worker | 2001 Hudson Ave, Kalamazoo, MI 49008-1889 | 2006-11-17 |
| 1043242340 | Catherine E Ellis | Psychologist | 2001 Hudson Ave, Kalamazoo, MI 49008-1889 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970069 | Jennelle Hines Counseling, Pllc | Counselor | 2511 Lomond Dr, Kalamazoo, MI 49008-2125 | 2020-10-19 |
| 1275151144 | Kalamazoo Cognitive and Behavioral Therapy Pllc | Counselor | 3516 Northfield Trl, Kalamazoo, MI 49009-5899 | 2020-07-08 |
| 1386273225 | Casey Slager | Counselor | 120 Lanark Ct, Kalamazoo, MI 49006-4357 | 2020-04-03 |
| 1104452002 | Susan G Mattice | Counselor | 1030 Campbell Ave, Kalamazoo, MI 49006-3082 | 2020-03-23 |
| 1336774421 | Deanna Thompson | Counselor | 124 Remine St, Kalamazoo, MI 49001-3640 | 2020-03-09 |
| 1073148185 | Cierra L Patrick | Counselor | 4210 S Westnedge Ave, Kalamazoo, MI 49008-3208 | 2020-03-09 |
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1295391829 | Stephanie Hyer | Counselor | 2338 S Rose St, Kalamazoo, MI 49001-3621 | 2019-05-20 |
| 1598264277 | Lance Brandon Bettison | Counselor | 157 S Kalamazoo Mall Ste 250, Kalamazoo, MI 49007-4828 | 2018-02-07 |
| 1013455989 | Lauren Gentry | Counselor | 213 S. Kendall Apt 201, Kalamazoo, MI 49006 | 2017-02-10 |
| Find all providers in KALAMAZOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.