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KALAMAZOO MENTAL WELLNESS LLC
NPI 1720896467
Social Worker - Clinical in Kalamazoo, MI

Active since December 27, 2024
3018 OAKLAND DR STE D, KALAMAZOO, MI 49008(269) 567-8807 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kalamazoo Mental Wellness Llc NPPES

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

KALAMAZOO MENTAL WELLNESS LLC (NPI 1720896467) is a healthcare organization registered as a clinical in Kalamazoo, Michigan and active in the NPI registry since December 2024. The organization lists Amy Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1720896467
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKALAMAZOO MENTAL WELLNESS LLC
Location Address3018 OAKLAND DR STE DKalamazoo, MI 49008-3998
Mailing Address3018 Oakland Dr Ste DKalamazoo, MI 49008-3998 · (269) 567-8807
Phone(269) 567-8807
Organization SubpartNo
Authorized OfficialAmy WilsonOwner · (269) 567-8807
Enumeration DateDecember 27, 2024
NPPES CertifiedDecember 27, 2024
✔ NPI 1720896467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
3018 OAKLAND DR STE D, Kalamazoo, MI 49008
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kalamazoo Mental Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kalamazoo Mental Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amy Wilson, LMSW
Clinical Social Worker
NPI 1124279765
3018 OAKLAND DR STE D
Kalamazoo, MI 49008
(269) 216-9289
✔ PECOS✔ Accepts MedicareSame address

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

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 Mental Wellness LLC's NPI number?

The NPI number for Kalamazoo Mental Wellness LLC is 1720896467. It was assigned to this organization in the NPPES registry on December 27, 2024.

Where is Kalamazoo Mental Wellness LLC located?

Kalamazoo Mental Wellness LLC is located at 3018 Oakland Dr Ste D, Kalamazoo, MI 49008. The listed phone number is (269) 567-8807.

What is Kalamazoo Mental Wellness LLC's specialty?

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

Is Kalamazoo Mental Wellness LLC enrolled in Medicare?

Yes. Kalamazoo Mental Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kalamazoo Mental Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kalamazoo Mental Wellness LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kalamazoo Mental Wellness LLC accept?

Health plans from Blue Care Network of Michigan list Kalamazoo Mental Wellness LLC 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 Kalamazoo Mental Wellness LLC was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.