NPIMap

Organization Active NPI

Community Hope Christian Counseling & Mental Health Center

  • Clinical Social Worker
  • Greenville, MI
National Provider Identifier
1235240227
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801081229 Issued in MI
Legal business name
COMMUNITY HOPE CHRISTIAN COUNSELING & MENTAL HEALTH CENTER
Practice address
6728 Vining Rd
Greenville, MI 48838-9784
Phone
(616) 225-8220
Fax
(616) 225-8226
NPI assigned
Aug 31, 2006
Last updated
Aug 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Mrs. Darcia J Kelley
Title
Executive Director
Phone
(616) 225-8220

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MI
Clinical Social Worker 1041C0700X 6801081229 MI Primary
Clinical Social Worker 1041C0700X 6801066841 MI
Clinical Social Worker 1041C0700X 6801087574 MI
Clinical Social Worker 1041C0700X 6801086970 MI
Clinical Social Worker 1041C0700X 6802079741 MI

Addresses

Primary practice location

6728 Vining Rd
Greenville, MI 48838-9784

Mailing address

6728 Vining Rd
Greenville, MI 48838-9784
Phone (616) 225-8220

Other identifiers 1

IdentifierTypeStateIssuer
800E910320OtherMIBC/BSM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070306000164 MI Part B Supplier - Clinic/Group Practice 5698878049 Receives reassigned benefits from 8 practitioners
Practice locations: Greenville, MI

National Provider Directory

National Provider Directory
Tax ID family
Commnity Hope Christian Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6728 Vining Rd
Greenville, MI 48838
Phone (616) 225-8220

Practitioners & affiliated clinicians

Practitioners 9

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1235240227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6728 VINING RD",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488389784",
            "telephone_number": "616-225-8220",
            "fax_number": "616-225-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6728 VINING RD",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488389784",
            "telephone_number": "616-225-8220",
            "fax_number": "616-225-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOPE CHRISTIAN COUNSELING & MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "DARCIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-225-8220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081229",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801066841",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087574",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086970",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802079741",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BSM",
            "identifier": "800E910320",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.