Active NPI
Karen Feaster
- Counseling Psychologist
- Ada, MI
National Provider Identifier
1083091037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301013038
- Practice address
- 455 Greentree LN NE
Ada, MI 49301-9706 - Phone
- (616) 340-2158
- Fax
- (269) 686-5201
- NPI assigned
- Apr 29, 2015
- Last updated
- Apr 29, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401009696 | MI | |
| Counseling Psychologist | 103TC1900X | 6301013038 | MI | Primary |
Addresses
Primary practice location
455 Greentree LN NE
Ada, MI 49301-9706
Mailing address
455 Greentree LN NE
Ada, MI 49301-9706
Phone (616) 340-2158
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009696 | MI | MD | Professional Counselor |
| 6301013038 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430265600000",
"number": "1083091037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 GREENTREE LN NE",
"city": "ADA",
"state": "MI",
"postal_code": "493019706",
"telephone_number": "616-340-2158",
"fax_number": "269-686-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 GREENTREE LN NE",
"city": "ADA",
"state": "MI",
"postal_code": "493019706",
"telephone_number": "616-340-2158",
"fax_number": "269-686-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEASTER",
"first_name": "KAREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-29",
"last_updated": "2015-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401009696",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301013038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ada, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.