NPIMap

Organization Active NPI

Charis

Doing business as Abundance of Hope

  • Community/Behavioral Health Agency
  • Holland, MI
National Provider Identifier
1104488949
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHARIS
Doing business as
Abundance of Hope
Practice address
186 S River Ave Ste 5
Holland, MI 49423-2848
Phone
(616) 377-4899
NPI assigned
Jul 2, 2019
Last updated
Jul 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Annise Koops, LLMSWNPI 1821566563
Title
Social Worker
Phone
(616) 745-5495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

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

Mailing address

4350 Cottage TRL
Hudsonville, MI 49426-6702
Phone (616) 745-5495

Other names 1

  • Abundance of Hope Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL therapynotes Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

186 S River Ave
Ste 5
Holland, MI 49423
Phone (616) 259-5452

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": "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": [],
    "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"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

  • 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.