Active NPI
Kali Jo Wolken, LMHC, LPC
- Counselor
- Grand Rapids, MI
National Provider Identifier
1306156047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401019178
- Practice address
- 668 Bylsma Dr NW
Grand Rapids, MI 49534-6828 - Phone
- (616) 540-2099
- NPI assigned
- Oct 15, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39002494A | IN | |
| Counselor | 101Y00000X | 6401019178 | MI | Primary |
Addresses
Primary practice location
668 Bylsma Dr NW
Grand Rapids, MI 49534-6828
Mailing address
668 Bylsma Dr NW
Grand Rapids, MI 49534-6828
Phone (616) 540-2099
Other names 1
- Miss Kali Jo Fouty
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401019178 | MI | MD | Counselor |
| 39002494A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Still Waters Holdings | Mental Health | Past | Accepting new patients |
| Richard Kneip, PH.D., P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Great Lakes Psychology Group
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
-
dba Still Waters Professional Counseling
- Mental Health Counselor
- Muncie, IN
- NPI 1730116187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1306156047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 BYLSMA DR NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495346828",
"telephone_number": "616-540-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "668 BYLSMA DR NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495346828",
"telephone_number": "616-540-2099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLKEN",
"first_name": "KALI",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "LMHC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39002494A",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401019178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KALI",
"last_name": "FOUTY",
"middle_name": "JO",
"prefix": "MISS",
"code": "1",
"type": "Former 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 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.