1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Counselor
  6. NPI Profile

MR. KIMBER GLENN DECKER MA
NPI 1144759655
Counselor - Professional in Grand Rapids, MI

Active since June 08, 2017PECOS EnrolledAccepts Medicare Assignment
3300 36TH ST SE, GRAND RAPIDS, MI 49512(616) 942-2110(616) 942-0589 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2025, Nov 20, 2024, Oct 24, 2022 and 3 more (6 updates tracked since 2017).

About Mr. Kimber Glenn Decker Ma NPPES

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

MR. KIMBER GLENN DECKER MA (NPI 1144759655) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401016108) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1144759655
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. KIMBER GLENN DECKERCredential: MA
Location Address3300 36TH ST SEGrand Rapids, MI 49512-2810
Mailing Address3300 36th St SeGrand Rapids, MI 49512-2810 · (616) 942-2110 · Fax (616) 942-0589
Phone(616) 942-2110
Fax(616) 942-0589
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 8, 2017
Last NPPES UpdateSeptember 12, 20256 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1144759655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401016108
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
3300 36TH ST SE, Grand Rapids, MI 49512
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kimber Glenn Decker Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284161613
PECOS Enrollment IDI20241226001504
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. KATHERINE E. KUNNEN DNP, FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MEGAN ELINOR JOHNSON BCBA
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2810
MALINNA I MACK
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
ALEIGHA DROUGHN
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MATTHEW JOHN MANNIKKO
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
CLARISSA LEE GREER
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MARGARET GRACE GILLICH
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
CATHERINE ROSE KUIPERS RN
Student in an Organized Health Care Education/Training Program
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110

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 Kimber Decker's NPI number?

The NPI number for Kimber Decker is 1144759655. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Kimber Decker located?

Kimber Decker practices at 3300 36th St SE, Grand Rapids, MI 49512. The listed phone number is (616) 942-2110.

What is Kimber Decker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kimber Decker enrolled in Medicare?

Yes. Kimber Decker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimber Decker accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Kimber Decker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimber Decker was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.