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KAILE VIDETICH LLMFT
NPI 1003413352
Marriage & Family Therapist in Grand Rapids, MI

Active since October 08, 2020
630 KENMOOR AVE SE STE 103, GRAND RAPIDS, MI 49546(616) 330-2330(616) 600-0360 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaile Videtich Llmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAILE VIDETICH LLMFT (NPI 1003413352) is an individual marriage & family therapist in Grand Rapids, Michigan, licensed in Michigan (4151001001) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1003413352
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKAILE VIDETICHCredential: LLMFT
Location Address630 KENMOOR AVE SE STE 103Grand Rapids, MI 49546-8626
Mailing Address1026 Cooper Ave SeGrand Rapids, MI 49507-1459
Phone(616) 330-2330
Fax(616) 600-0360
Sole ProprietorNo
Enumeration DateOctober 8, 2020
NPPES CertifiedOctober 8, 2020
✔ NPI 1003413352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MI · 4151001001
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
630 KENMOOR AVE SE STE 103, Grand Rapids, MI 49546
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABBEY FOWLER LLPC
Counselor (Mental Health)
630 KENMOOR AVE SE STE 103
GRAND RAPIDS, MI 49546
Kent County (616) 320-1711
WOMENS HEALTH COLLECTIVE
Obstetrics & Gynecology (Gynecology)
630 KENMOOR AVE SE STE 103
GRAND RAPIDS, MI 49546
Kent County (616) 581-0772
AUDREY MACCIOMEI
Physician Assistant
630 KENMOOR AVE SE STE 103
GRAND RAPIDS, MI 49546
Kent County (616) 600-4950
MRS. NISHA KIMBERLY MCKENZIE PA-C
Physician Assistant (Medical)
630 KENMOOR AVE SE STE 103
GRAND RAPIDS, MI 49546
Kent County (616) 600-4950
KARA PETTINGER, L.L.C.
Social Worker (Clinical)
630 KENMOOR AVE SE STE 103
GRAND RAPIDS, MI 49546
Kent County (517) 983-3384

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaile Videtich's NPI number?

The NPI number for Kaile Videtich is 1003413352. It was assigned to this individual provider in the NPPES registry on October 8, 2020.

Where is Kaile Videtich located?

Kaile Videtich practices at 630 Kenmoor Ave SE Ste 103, Grand Rapids, MI 49546. The listed phone number is (616) 330-2330.

What is Kaile Videtich's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Kaile Videtich was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.