Organization Active NPI

Christ Life Counseling Center of Grand Rapids

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
National Provider Identifier
1285765214
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHRIST LIFE COUNSELING CENTER OF GRAND RAPIDS
Practice address
150 Ann St NW
Grand Rapids, MI 49505-6244
Phone
(616) 365-8074
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Charles Spratt, LMSW
Title
Director
Phone
(616) 365-8074

Specialties & licenses 1

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

Addresses

Primary practice location

150 Ann St NW
Grand Rapids, MI 49505-6244

Mailing address

2899 W 136TH St
Grant, MI 49327-8804
Phone (616) 365-8074

National Provider Directory

National Provider Directory

Locations

150 Ann St NW
Grand Rapids, MI 49505
Phone (616) 365-8074

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285765214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2899 W 136TH ST",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493278804",
            "telephone_number": "616-365-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ANN ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495056244",
            "telephone_number": "616-365-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIST LIFE COUNSELING CENTER OF GRAND RAPIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPRATT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "616-365-8074",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.