MR. KIMBER GLENN DECKER MA NPI 1144759655

NPI Information

NPI: 1144759655
Provider Name: MR. KIMBER GLENN DECKER, MA
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
534 FOUNTAIN ST NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 456-1178
Get Directions

MR. Kimber Glenn Decker, MA is a professional counselor in Grand Rapids, MI. MR. Kimber Glenn Decker, MA NPI is 1144759655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

534 FOUNTAIN ST NE
GRAND RAPIDS, MI
ZIP 49503-422
Phone: (616) 456-1178
Fax: (616) 456-1324

The enumeration date for this NPI number is 6/8/2017 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	101YM0800X	Counselor	Mental Health		MICHIGAN	No
3	101YP1600X	Counselor	Pastoral			No
4	101YP2500X	Counselor	Professional	6401016108	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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