Active NPI
Clearer View Counseling LLC
- Social Worker
- Grand Rapids, MI
National Provider Identifier
1356962658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- CLEARER VIEW COUNSELING LLC
- Practice address
- 1345 Monroe Ave NW Ste 323
Grand Rapids, MI 49505-4674 - Phone
- (616) 648-4407
- Fax
- (616) 608-4657
- NPI assigned
- Apr 28, 2020
- Last updated
- Mar 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole M Kotchka, LMSW,CAADC
- Title
- Provider
- Phone
- (616) 648-4407
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
1345 Monroe Ave NW Ste 323
Grand Rapids, MI 49505-4674
Mailing address
1345 Monroe Ave NW Ste 323
Grand Rapids, MI 49505-4674
Phone (616) 648-4407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Social Worker
- Grand Rapids, MI
- NPI 1528299658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1356962658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 MONROE AVE NW STE 323",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495054674",
"telephone_number": "616-648-4407",
"fax_number": "616-608-4657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 MONROE AVE NW STE 323",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495054674",
"telephone_number": "616-648-4407",
"fax_number": "616-608-4657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEARER VIEW COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-28",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "KOTCHKA",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "616-648-4407",
"authorized_official_credential": "LMSW,CAADC"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"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 Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.