Soul Garden Counseling LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SOUL GARDEN COUNSELING LLC

Practice address

1953 Ketegawn Rd
Owosso, MI 48867-1529

Phone

(720) 220-8106

NPI assigned

Jan 17, 2023

Organization subpart

No

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

Authorized official

Name

Mary Beth Houpt

Title

Credentialing

Phone

(517) 676-9797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendra Docker, LPC

  • Counselor
  • Owosso, MI
  • NPI 1699316976
  Medicare reassignment NPD

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1073228805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 KETEGAWN RD",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 KETEGAWN RD",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671529",
            "telephone_number": "720-220-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL GARDEN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9797"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Soliz
• Solllc
• Solllc
• Brianna Lee Solomon, OTRL
• Maryam Somo, MD
• Julie Creighton Sovis, DO
• Jenna Sowers
• Morgann Sowers
• Michael Edward Sparkman, DPT
• Shelly Sparks, LBSW

• Counselor in Owosso, MI
• Providers in Owosso, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.