Active NPI
Carrie Ann Pappas, MA,LLP
- Mental Health Counselor
- Grand Rapids, MI
National Provider Identifier
1033417480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6361002939
- Practice address
- 655 Kenmoor Ave SE Ste 303
Grand Rapids, MI 49546-8622 - Phone
- (616) 625-9066
- Fax
- (616) 369-5782
- NPI assigned
- Mar 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6361002939 | MI | Primary |
| Psychologist | 103T00000X | 6301012126 | MI |
Addresses
Primary practice location
655 Kenmoor Ave SE Ste 303
Grand Rapids, MI 49546-8622
Mailing address
6006 Arroyo Vista Dr NE
Rockford, MI 49341-9400
Phone (616) 625-9066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361002939 | MI | MD | Mental Health Counselor |
| 6301012126 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrie Pappas Counseling | Current | Accepting new patients |
Locations
655 Kenmoor Ave SE
Ste 303
Grand Rapids, MI 49546
Phone (616) 320-4464
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Grand Rapids, MI
- NPI 1487342606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1033417480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6006 ARROYO VISTA DR NE",
"city": "ROCKFORD",
"state": "MI",
"postal_code": "493419400",
"telephone_number": "616-625-9066",
"fax_number": "616-451-9513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 KENMOOR AVE SE STE 303",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468622",
"telephone_number": "616-625-9066",
"fax_number": "616-369-5782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPPAS",
"first_name": "CARRIE",
"middle_name": "ANN",
"credential": "MA,LLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-09",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6361002939",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301012126",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.