Portage Counseling and Coaching

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PORTAGE COUNSELING AND COACHING

Practice address

10032 Shaver Rd
Portage, MI 49024-6738

Phone

(269) 998-8183

NPI assigned

Jul 27, 2019

Last updated

Jul 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gerald BrooksNPI 1508101635

Title

Owner

Phone

(269) 998-8183

Specialties & licenses 4

Addresses

Locations

Practitioners 3

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.

• Gerald Lamont Brooks, LMSW, CAADC, SAP

  • Social Worker
  • Kalamazoo, MI
  • NPI 1508101635

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Laird Walker

  • Clinical Social Worker
  • Kalamazoo, MI
  • NPI 1497383582
  NPD
• Abbie Andrzejak

  • Clinical Social Worker
  • Kalamazoo, MI
  • NPI 1578123220
  NPD (past)

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

{
    "created_epoch": "1564185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564185600000",
    "number": "1215581384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 HOLIDAY TER STE 32",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10032 SHAVER RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490246738",
            "telephone_number": "269-998-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE COUNSELING AND COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-27",
        "last_updated": "2019-07-27",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-998-8183"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Pollaccia, DMD
• Hannah Polomcak
• Regan Poppert
• Portage Audiology Consultants, LLC
• Portage Chiropractic and Wellness Center (Smith Chiropractic)
• Portage Family Dentistry PLLC
• Portage Family Healing LLC (Portage Family Healing Center)
• Portage Family Vision Care, PC
• Portage Family Vision Care, PC
• Portage Life Coaching and Counseling LLP

• Clinical Social Worker in Portage, MI
• Providers in Portage, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.