INTEGRATED SERVICES OF KALAMAZOO
NPI 1477225506
Community/Behavioral Health in Kalamazoo, MI

Active since September 28, 2021CLIA 23D2113239 · Waiver
615 E CROSSTOWN PKWY, KALAMAZOO, MI 49001(269) 373-6000(269) 373-4951 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Integrated Services Of Kalamazoo NPPES

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

INTEGRATED SERVICES OF KALAMAZOO (NPI 1477225506) is a healthcare organization registered as a community/behavioral health in Kalamazoo, Michigan and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through May 17, 2028, maintains 3 additional practice locations, and lists Holly Greene, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1477225506
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKALAMAZOO COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Location Address615 E CROSSTOWN PKWYKalamazoo, MI 49001-2501
Mailing Address2030 Portage StKalamazoo, MI 49001-3836 · (269) 553-8018 · Fax (269) 553-8012
Fax(269) 373-4951
Organization SubpartNo
Authorized OfficialHolly GreeneCredentialing · (269) 553-8027
Enumeration DateSeptember 28, 2021
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1477225506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
615 E CROSSTOWN PKWY, Kalamazoo, MI 49001

Other Names 1

Doing Business AsIntegrated Services Of Kalamazoo

Secondary Practice Locations 3

Location 12030 Portage StKalamazoo, MI 49001-3836 · Phone (269) 553-8018 · Fax (269) 553-8012
Location 2610 S Burdick StKalamazoo, MI 49007-5221 · Phone (269) 381-3700 · Fax (269) 381-3810
Location 3418 W Kalamazoo AveKalamazoo, MI 49007-3334 · Phone (269) 553-8060 · Fax (269) 553-8104

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrated Services Of Kalamazoo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20050624000176Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

71

Medicare enrollment records show 71 clinicians reassign Medicare billing to Integrated Services Of Kalamazoo, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 50 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Clinical Social Worker35
Psychiatry16
Mental Health Counselor10
Nurse Practitioner7
Pediatric Medicine2
Clinical Psychologist1

Nearest to this location (20)

See all 71
Psychiatry
NPI 1316976608
615 E CROSSTOWN PKWY
Kalamazoo, MI 49001
(269) 553-7037
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518606003
615 E CROSSTOWN PKWY
Kalamazoo, MI 49001
(269) 553-7037
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1245623776
615 E CROSSTOWN PKWY
Kalamazoo, MI 49001
(269) 373-6000
✔ PECOSSame address
Nurse Practitioner
NPI 1619481934
615 E CROSSTOWN PKWY
Kalamazoo, MI 49001
(269) 553-7037
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1437543949
615 E CROSSTOWN PKWY
Kalamazoo, MI 49001
(269) 553-7040
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1629699459
615 E CROSSTOWN PKWY
Kalamazoo, MI 49001
(269) 553-7115
✔ PECOSSame address
Mental Health Counselor
NPI 1275067167
2001 HUDSON AVE STE D
Kalamazoo, MI 49008
(989) 906-3171
✔ PECOS✔ Accepts Medicare0.4 mi
Psychiatry
NPI 1346690948
1000 OAKLAND DR
Kalamazoo, MI 49008
(734) 560-6224
✔ PECOS0.7 mi
Pediatric Medicine
NPI 1699736256
1000 OAKLAND DR
Kalamazoo, MI 49008
(269) 337-6430
✔ PECOS✔ Accepts Medicare0.7 mi
Clinical Social Worker
NPI 1932899093
1000 OAKLAND DR FL 3
Kalamazoo, MI 49008
(269) 387-7024
✔ PECOS✔ Accepts Medicare0.7 mi
Mental Health Counselor
NPI 1558608042
610 S BURDICK ST
Kalamazoo, MI 49007
(269) 381-3700
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1619213451
610 S BURDICK ST
Kalamazoo, MI 49007
(269) 381-3700
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Social Worker
NPI 1962853705
610 S BURDICK ST
Kalamazoo, MI 49007
(269) 381-3700
✔ PECOS0.9 mi
Clinical Social Worker
NPI 1982372637
610 S BURDICK ST
Kalamazoo, MI 49007
(269) 373-6000
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Social Worker
NPI 1245491760
610 S BURDICK ST
Kalamazoo, MI 49007
(269) 381-3700
✔ PECOS✔ Accepts Medicare0.9 mi
Psychiatry
NPI 1851650642
610 S BURDICK ST
Kalamazoo, MI 49007
(269) 381-3700
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Social Worker
NPI 1427610260
610 S BURDICK ST
Kalamazoo, MI 49007
(269) 381-3700
✔ PECOS0.9 mi
Mental Health Counselor
NPI 1235639253
519 S PARK ST
Kalamazoo, MI 49007
(269) 903-0542
✔ PECOS✔ Accepts Medicare0.9 mi
Mental Health Counselor
NPI 1154170603
2030 PORTAGE ST
Kalamazoo, MI 49001
(269) 364-6984
✔ PECOS✔ Accepts Medicare1.0 mi
Mental Health Counselor
NPI 1417440553
2030 PORTAGE ST FL 2
Kalamazoo, MI 49001
(269) 553-7132
✔ PECOS✔ Accepts Medicare1.0 mi
See all 71 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2113239

Integrated Services Of Kalamazoo · Kalamazoo, MI
Active · expires May 17, 2028
CLIA Number23D2113239
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorWanda W. Brown
Laboratory Phone(269) 553-7038
Laboratory LocationIntegrated Services Of Kalamazoo615 E Crosstown Parkway, Kalamazoo, MI 49001
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Kalamazoo County Community Mental Health Authority's NPI number?

The NPI number for Kalamazoo County Community Mental Health Authority is 1477225506. It was assigned to this organization in the NPPES registry on September 28, 2021. The provider is doing business as Integrated Services Of Kalamazoo.

Where is Kalamazoo County Community Mental Health Authority located?

Kalamazoo County Community Mental Health Authority is located at 615 E Crosstown Pkwy, Kalamazoo, MI 49001. The listed phone number is (269) 373-6000.

What is Kalamazoo County Community Mental Health Authority's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Kalamazoo County Community Mental Health Authority enrolled in Medicare?

Yes. Kalamazoo County Community Mental Health Authority is registered in the Medicare PECOS enrollment system.

When is Kalamazoo County Community Mental Health Authority's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kalamazoo County Community Mental Health Authority?

According to the CMS Revalidation Reassignment List (October 2026 release), 71 clinicians in 6 Medicare specialties reassign their Medicare billing to Kalamazoo County Community Mental Health Authority. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (35), Psychiatry (16) and Mental Health Counselor (10). Of these, 6 practice at this address and 50 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kalamazoo County Community Mental Health Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2113239) is associated with this NPI, valid through May 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kalamazoo County Community Mental Health Authority was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.