IndividualActive
Kaile Videtich, LLMFT
NPI 1003413352 · Marriage & Family Therapist · Grand Rapids, MI
Provider details
- NPI number
- 1003413352
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LLMFT
- Sex
- Female
- Sole proprietor
- No
- License
- 4151001001 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
630 Kenmoor Ave Se Ste 103
Grand Rapids, MI 49546-8626
Phone: (616) 330-2330
Fax: (616) 600-0360
Street-level locationGet directions
Mailing address
1026 Cooper Ave Se
Grand Rapids, MI 49507-1459
Registry dates
- Enumerated
- 2020-10-08
- Last updated
- 2020-10-08
- Certified
- 2020-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.