Organization Active NPI

Vision Counseling

  • Clinical Social Worker
  • Augusta, MI
National Provider Identifier
1124268867
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801084943 Issued in MI
Legal business name
VISION COUNSELING
Practice address
16456 E C Ave
Augusta, MI 49012-9340
Phone
(269) 888-4212
Fax
(269) 276-5290
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Daniel RenstromNPI 1679645147
Title
Owner
Phone
(269) 888-4212

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: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801084943 MI Primary

Addresses

Primary practice location

16456 E C Ave
Augusta, MI 49012-9340

Mailing address

515 Stockbridge Ave.
Kalamazoo, MI 49001-2933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180925002173 MI Part B Supplier - Clinic/Group Practice 3274883764 Receives reassigned benefits from 1 practitioner
Practice locations: Augusta, MI

National Provider Directory

National Provider Directory

Locations

605 Howard St
Kalamazoo, MI 49008
Phone (269) 323-8770

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": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1124268867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 STOCKBRIDGE AVE.",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16456 E C AVE",
            "city": "AUGUSTA",
            "state": "MI",
            "postal_code": "490129340",
            "telephone_number": "269-888-4212",
            "fax_number": "269-276-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "RENSTROM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-888-4212"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801084943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.