NPIMap

Organization Active NPI

Intentional Growth LLC

  • Professional Counselor
  • Kalamazoo, MI
National Provider Identifier
1407396286
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401012521 Issued in MI
Legal business name
INTENTIONAL GROWTH LLC
Practice address
5360 Holiday Ter
Suite 18
Kalamazoo, MI 49009-2126
Phone
(269) 760-6236
NPI assigned
Feb 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Authorized official

Name
Marnie Sue Thomas, LPCNPI 1972890259
Title
Managing Member
Phone
(269) 447-1211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 6401012521 MI Primary

Addresses

Primary practice location

5360 Holiday Ter
Suite 18
Kalamazoo, MI 49009-2126

Mailing address

5360 Holiday Ter
Suite 18
Kalamazoo, MI 49009-2126
Phone (269) 447-1211

National Provider Directory

National Provider Directory

Locations

5360 Holiday Ter
Ste 18
Kalamazoo, MI 49009
Phone (269) 447-1211

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1407396286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 HOLIDAY TER",
            "address_2": "SUITE 18",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092126",
            "telephone_number": "269-447-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 HOLIDAY TER",
            "address_2": "SUITE 18",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092126",
            "telephone_number": "269-760-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL GROWTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "269-447-1211",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.