Organization Active NPI

With Purpose Counseling

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1104500362
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WITH PURPOSE COUNSELING
Practice address
3167 Kalamazoo Ave SE Ste 116
Grand Rapids, MI 49508-1475
Phone
(616) 340-1892
NPI assigned
Jun 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Brooke Toy Davis, LMSWNPI 1427647585
Title
Owner
Phone
(616) 340-1892

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3167 Kalamazoo Ave SE Ste 116
Grand Rapids, MI 49508-1475

Mailing address

3167 Kalamazoo Ave SE Ste 116
Grand Rapids, MI 49508-1475
Phone (616) 340-1892

National Provider Directory

National Provider Directory

Locations

3167 Kalamazoo Ave SE
Ste 116
Grand Rapids, MI 49508
Phone (616) 340-1892

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1104500362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3167 KALAMAZOO AVE SE STE 116",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081475",
            "telephone_number": "616-340-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 KALAMAZOO AVE SE STE 116",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081475",
            "telephone_number": "616-340-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITH PURPOSE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "TOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-340-1892",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.