Active NPI
Kristi Loraine Roberts, MA, LLPC
- School Counselor
- Holland, MI
National Provider Identifier
1336866409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 6451022609
- Practice address
- 890 Washington Ave Ste 150
Holland, MI 49423-7702 - Phone
- (231) 237-8898
- NPI assigned
- Oct 20, 2022
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | |||
| School Counselor | 101YS0200X | 6451022609 | MI | Primary |
Addresses
Primary practice location
890 Washington Ave Ste 150
Holland, MI 49423-7702
Mailing address
15001 Pine Ridge Rd
Grand Haven, MI 49417-9702
Phone (231) 350-3384
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | leslie@westmichiganpsychologicalservices.com | Direct | West Michigan Psychological Services LLC |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451022609 | MI | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Michigan Psychological Services LLC | Current | Accepting new patients |
Locations
890 Washington Ave
Ste 150
Holland, MI 49423
Phone (616) 952-9957
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.
-
- Mental Health Counselor
- Holland, MI
- NPI 1215407044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1336866409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15001 PINE RIDGE RD",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494179702",
"telephone_number": "231-350-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 WASHINGTON AVE STE 150",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494237702",
"telephone_number": "231-237-8898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "KRISTI",
"middle_name": "LORAINE",
"credential": "MA, LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-20",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MI",
"license": "6451022609",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "leslie@westmichiganpsychologicalservices.com",
"affiliation": "Y",
"endpointDescription": "Physical Office",
"affiliationName": "West Michigan Psychological Services LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "890 Washington Ave Ste 150",
"city": "Holland",
"state": "MI",
"country_code": "US",
"postal_code": "494237702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.