NPIMap

Organization Active NPI

In-Balanse Consulting Services

Doing business as Rootead

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1033609987
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801100561 Issued in MI
Legal business name
IN-BALANSE CONSULTING SERVICES
Doing business as
Rootead
Practice address
1501 Fulford St
Kalamazoo, MI 49001-4084
Phone
(269) 358-8670
NPI assigned
May 16, 2018
Last updated
May 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aisha Coulson-Walters, LMSWNPI 1285996850
Title
Clinical Coordinator
Phone
(269) 358-8670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801100561 MI Primary

Addresses

Primary practice location

1501 Fulford St
Kalamazoo, MI 49001-4084

Mailing address

286 Kensington Cir
Battle Creek, MI 49015-9500

Other names 1

  • Rootead Doing business as

National Provider Directory

National Provider Directory

Locations

1501 Fulford St
Kalamazoo, MI 49001
Phone (269) 358-8670

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1033609987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 KENSINGTON CIR",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 FULFORD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014084",
            "telephone_number": "269-358-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-BALANSE CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "COULSON-WALTERS",
        "authorized_official_first_name": "AISHA",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "269-358-8670",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801100561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rootead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.