Organization Active NPI

Kool Counseling, LLC

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
National Provider Identifier
1275079923
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6401012123 Issued in MI
Legal business name
KOOL COUNSELING, LLC
Practice address
2335 Burton St SE
Suite 130
Grand Rapids, MI 49506-4669
Phone
(616) 929-0189
Fax
(616) 773-1264
NPI assigned
Jan 18, 2017
Last updated
Jan 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Rachael Kool, LPC
Title
Ceo
Phone
(616) 929-0189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6401012123 MI Primary

Addresses

Primary practice location

2335 Burton St SE
Suite 130
Grand Rapids, MI 49506-4669

Mailing address

2335 Burton St SE
Suite 130
Grand Rapids, MI 49506-4669
Phone (616) 929-0189

Other names 1

  • Rachael Kool Counseling Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1275079923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 BURTON ST SE",
            "address_2": "SUITE 130",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064669",
            "telephone_number": "616-929-0189",
            "fax_number": "616-773-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 BURTON ST SE",
            "address_2": "SUITE 130",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064669",
            "telephone_number": "616-929-0189",
            "fax_number": "616-773-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "KOOL",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-929-0189",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401012123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rachael Kool Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.