Individual provider Active NPI

Kathryn Rice, LMSW

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1346819885
Registry record updated Jun 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093364 Issued in MI
Practice address
890 Washington Ave Ste 150
Holland, MI 49423-7702
Phone
(616) 952-9957
NPI assigned
Jun 20, 2021
Last updated
Jun 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801093364 MI Primary

Addresses

Primary practice location

890 Washington Ave Ste 150
Holland, MI 49423-7702

Mailing address

10852 Pine Valley CT
Allendale, MI 49401-9641
Phone (586) 980-9716

Other names 1

  • Kathryn Krebs Former name

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

LicenseStateTypeSpecialty
6801093364MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
West Michigan Psychological Services LLC CurrentSince Jun 27, 2021 Accepting new patients

Locations

400 136th Ave
Ste 416
Holland, MI 49424
Phone (616) 738-0470

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624147200000",
    "number": "1346819885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10852 PINE VALLEY CT",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019641",
            "telephone_number": "586-980-9716"
        },
        {
            "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": "616-952-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "KATHRYN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-20",
        "last_updated": "2021-06-20",
        "certification_date": "2021-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "KREBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 20, 2021; 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.