Organization Active NPI

The Healing Village

  • Professional Counselor
  • Muskegon, MI
National Provider Identifier
1265210439
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THE HEALING VILLAGE
Practice address
865 Oakridge Rd Ste a
Muskegon, MI 49441-4097
Phone
(231) 335-3116
NPI assigned
Sep 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Karli Baldus, LPC, LLPNPI 1093171688
Title
Ceo
Phone
(231) 335-3116

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X

Addresses

Primary practice location

865 Oakridge Rd Ste a
Muskegon, MI 49441-4097

Mailing address

865 Oakridge Rd Ste a
Muskegon, MI 49441-4097
Phone (231) 335-3116

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250520002367 MI Part B Supplier - Clinic/Group Practice 0547788838 Receives reassigned benefits from 2 practitioners
Practice locations: Muskegon, MI

National Provider Directory

National Provider Directory

Locations

865 Oakridge Rd
Ste A
Muskegon, MI 49441
Phone (231) 335-3116

Practitioners & affiliated clinicians

Practitioners 3

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": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1265210439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 OAKRIDGE RD STE A",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494414097",
            "telephone_number": "231-335-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 OAKRIDGE RD STE A",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494414097",
            "telephone_number": "231-335-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "BALDUS",
        "authorized_official_first_name": "KARLI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-335-3116",
        "authorized_official_credential": "LPC, LLP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.