IndividualActive
Kim Childress
NPI 1124410808 · Professional Counselor · Kentwood, MI
Provider details
- NPI number
- 1124410808
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6451015430 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
3300 36th St Se
Kentwood, MI 49512-2810
Phone: (616) 304-7517
Street-level locationGet directions
Mailing address
3300 36th St Se
Kentwood, MI 49512-2810
Additional practice locations (1)
- 3181 Prairie St Sw Ste 104Grandville, MI 49418-2076Phone: (616) 304-7517
Registry dates
- Enumerated
- 2015-03-04
- Last updated
- 2024-06-05
- Certified
- 2024-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.