PEDIATRIC COUNSELING CENTER, LLC
NPI 1154583235
Social Worker - Clinical in Kalamazoo, MI

Active since June 30, 2008
950 N 10TH ST, SUITE 200, KALAMAZOO, MI 49009(269) 372-6500(269) 372-6503 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Counseling Center, Llc NPPES

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

PEDIATRIC COUNSELING CENTER, LLC (NPI 1154583235) is a healthcare organization registered as a clinical in Kalamazoo, Michigan and active in the NPI registry since June 2008. The organization lists Jodi Ten Broeke, Owner, as its authorized official.

NPPES Registry Identity

NPI1154583235
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePEDIATRIC COUNSELING CENTER, LLC
Location Address950 N 10TH ST, SUITE 200Kalamazoo, MI 49009-6112
Mailing Address950 N 10th St, Suite 200Kalamazoo, MI 49009-6112 · (269) 372-6500 · Fax (269) 372-6503
Fax(269) 372-6503
Organization SubpartNo
Authorized OfficialJodi Ten BroekeOwner · (269) 372-6500
Enumeration DateJune 30, 2008
NPI 1154583235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801081725
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
950 N 10TH ST, Kalamazoo, MI 49009

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Dentist (Orthodontics and Dentofacial Orthopedics)
950 N 10TH ST, SUITE 110
KALAMAZOO, MI 49009

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 Pediatric Counseling Center, LLC's NPI number?

The NPI number for Pediatric Counseling Center, LLC is 1154583235. It was assigned to this organization in the NPPES registry on June 30, 2008.

Where is Pediatric Counseling Center, LLC located?

Pediatric Counseling Center, LLC is located at 950 N 10th St Suite 200, Kalamazoo, MI 49009. The listed phone number is (269) 372-6500.

What is Pediatric Counseling Center, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Pediatric Counseling Center, LLC was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.