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Active NPI 1427621598 Individual Practitioner Male Practitioner

Jay Michael Maddock , MA, LPC

Counselor - Professional • Kalamazoo, MI

Professional Overview & Biography Verified Profile Summary

Jay Maddock, MA, LPC is a registered healthcare professional specializing in Counselor - Professional in Kalamazoo, MI. Practice services are available at 5340 HOLIDAY TER STE 13 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5340 Holiday Ter Ste 13

Kalamazoo, MI 490092181

Telephone 2693724140
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Kalamazoo, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
204 Specialists

Practicing in Kalamazoo, MI (5077 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-12
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MI 6401223782

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
NPI 1033638135

Licensed Professional Counselor

Melinda Johnston , MALLPLLPC

Counselor - Mental Health

NPI 1063456093
Caroline Ray , MA, LPC, NCC, ACS

Counselor - Professional

NPI 1073103628

Master of Arts, Licensed Professional Counselor, National Certified Counselor, ACS

Joseph Sanok , MA, LLP, LLPC

Counselor - Professional

NPI 1124089099

Master of Arts, Licensed Limited Psychologist, LLPC

Eugenia Greene , MSW, LMSW, ACSW

Social Worker - Clinical

NPI 1174625156

Master of Social Work, Licensed Master Social Worker, Academy of Certified Social Workers

Alison Bennett

Psychologist

NPI 1205284056

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 12, 2023

Registered at 5340 HOLIDAY TER STE 13, KALAMAZOO, MI 490092181 (Tel: 2693724140)

📍
Updated Business Mailing Address October 12, 2023

Registered at 5340 HOLIDAY TER STE 13, KALAMAZOO, MI 490092181 (Tel: 2693724140)

👤
Provider Name / Credentials Updated October 12, 2023

Recorded as JAY MADDOCK, MA, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2023

Counselor (License #6401223782 in MI)

NPI Profile Active August 04, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2021

Registered at 1000 OAKLAND DR, KALAMAZOO, MI 490081282 (Tel: 2693878230)

📍
Updated Business Mailing Address August 04, 2021

Registered at 1000 OAKLAND DR, KALAMAZOO, MI 490081282

👤
Provider Name / Credentials Updated August 04, 2021

Recorded as JAY MADDOCK, MA, LLPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2021

Counselor (License #6401019545 in MI)

🟢
Initial NPI Registration & Enumeration July 19, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427621598
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2021
Last Update: October 12, 2023
Sole Proprietor: No

Mailing Address

5340 Holiday Ter Ste 13

Kalamazoo, MI 490092181

Phone: 2693724140

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.