Active NPI
Beatrice Gakuru
- Professional Counselor
- Grand Rapids, MI
National Provider Identifier
1295201556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401011379
- Practice address
- 1050 36TH St SE Ste 400
Grand Rapids, MI 49508-5581 - Phone
- (616) 965-8096
- NPI assigned
- Oct 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401011379 | MI | Primary |
Addresses
Primary practice location
1050 36TH St SE Ste 400
Grand Rapids, MI 49508-5581
Mailing address
1050 36TH St SE Ste 400
Grand Rapids, MI 49508-5581
Phone (616) 965-8096
Other names 1
- Beatrice Gakuru
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011379 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethany Christian Services USA, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foster Care Agency
- Grand Rapids, MI
- NPI 1790055788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1295201556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 36TH ST SE STE 400",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495085581",
"telephone_number": "616-965-8096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 36TH ST SE STE 400",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495085581",
"telephone_number": "616-965-8096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAKURU",
"first_name": "BEATRICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-15",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401011379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BEATRICE",
"last_name": "GAKURU",
"code": "2",
"type": "Professional 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 Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.