Katherine Mae Sandison, MA, LLP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6361007821 Issued in MI

Practice address

781 Kenmoor Ave SE Ste C
Grand Rapids, MI 49546-8624

Phone

(616) 710-1861

NPI assigned

Mar 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• North Kent Guidance Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Rapids, MI
  • NPI 1518973858
  NPD (past)

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1427634807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 ONTONAGON AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495065368",
            "telephone_number": "616-295-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 KENMOOR AVE SE STE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468624",
            "telephone_number": "616-710-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDISON",
        "first_name": "KATHERINE",
        "middle_name": "MAE",
        "credential": "MA, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6361007821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalen Drake Sanders, PSYD
• William Johnathon Sanders, D.O.
• Emma Sanderson
• Jacob Sanderson, PA
• Kwanyah Seawood Sandifer
• Suzanne Sandison, PT
• Gregory Sandman, MD
• Melissa A Sandman, MD
• Devin Sandri, DO
• Patrick S. Sandro, PT

• Counseling Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.