Individual provider Active NPI

Courtney Grace Way, LCAT, RDT, LLPC, NCC

  • Drama Therapist
  • Portage, MI
National Provider Identifier
1134825128
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Drama TherapistTaxonomy code 101200000X
License
002994 Issued in NY
Practice address
721 W Centre Ave
Portage, MI 49024-5309
Phone
(269) 779-7577
NPI assigned
Feb 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Drama Therapist 101200000X 002994 NY Primary
Counselor 101Y00000X 6451024762 MI

Addresses

Primary practice location

721 W Centre Ave
Portage, MI 49024-5309

Mailing address

1229 Little Dr Apt C310
Kalamazoo, MI 49006-6203
Phone (269) 270-5728

Other practice location 1

205 Hudson St Fl 9
New York, NY 10013-1810
Phone (646) 941-7645

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

LicenseStateTypeSpecialty
6451024762MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Counseling and Psychotherapy, PLLC PastSince Apr 5, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1134825128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 LITTLE DR APT C310",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490066203",
            "telephone_number": "269-270-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245309",
            "telephone_number": "269-779-7577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Hudson St Fl 9",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100131810",
            "country_code": "US",
            "telephone_number": "646-941-7645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAY",
        "first_name": "COURTNEY",
        "middle_name": "GRACE",
        "credential": "LCAT, RDT, LLPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101200000X",
            "taxonomy_group": "",
            "desc": "Drama Therapist",
            "state": "NY",
            "license": "002994",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451024762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2026; 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.