Charis

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHARIS

Practice address

186 S River Ave Ste 5
Holland, MI 49423-2848

Phone

(616) 377-4899

NPI assigned

Jul 2, 2019

Organization subpart

No

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

Authorized official

Name

Annise Koops, LLMSW

Title

Social Worker

Phone

(616) 745-5495

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Abundance of Hope Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1104488949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 COTTAGE TRL",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494266702",
            "telephone_number": "616-745-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 S RIVER AVE STE 5",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232848",
            "telephone_number": "616-377-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "KOOPS",
        "authorized_official_first_name": "ANNISE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "616-745-5495",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1871044214",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "therapynotes",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "therapynotes",
            "address_1": "186 S River Ave Ste 5",
            "city": "Holland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494232848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Abundance of Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David W. Chamness, MD
• Kristen Taylor Chan
• Megan Chan
• Leann Chanthala
• Sara L Chargo, PA
• Kelley Charles, LLMSW
• Chase - Edward Inc.
• Michael A Cheek, M.D.
• Beth E Cherin, MA, LPC, NCC
• Cherry Street Services, Inc.

• All providers in Holland, MI
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.