Individual provider Active NPI

Sara Marie Rice, LPC

  • Professional Counselor
  • Wyoming, MI
National Provider Identifier
1477119329
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401222924 Issued in MI
Practice address
3500 Byron Center Ave SW
Wyoming, MI 49519-3260
Phone
(616) 208-9337
Fax
(616) 504-6669
NPI assigned
May 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6241017318 MI
Professional Counselor 101YP2500X 6401222924 MI Primary

Addresses

Primary practice location

3500 Byron Center Ave SW
Wyoming, MI 49519-3260

Mailing address

2566 22 Mile Rd NW
Kent City, MI 49330-9203
Phone (616) 208-9337

Other practice location 1

2566 22 Mile Rd NW
Kent City, MI 49330-9203
Phone (616) 272-8378

Other identifiers 1

IdentifierTypeStateIssuer
14470467OtherCAQH

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL counselingsrice@gmail.com Direct
Direct Messaging Address srice@kccpllc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108004913 MI Practitioner - Mental Health Counselor 1153772033 Receives reassigned benefits from 1 practitioner
Practice locations: Wyoming, MI

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3500 Byron Ctr Ave SW
Wyoming, MI 49519-3260
Phone (616) 208-9337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6241017318MIMDProfessional Counselor
6401222924MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Marie Rice CurrentSince Jan 18, 2019 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1477119329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 22 MILE RD NW",
            "city": "KENT CITY",
            "state": "MI",
            "postal_code": "493309203",
            "telephone_number": "616-208-9337",
            "fax_number": "616-208-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BYRON CENTER AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495193260",
            "telephone_number": "616-208-9337",
            "fax_number": "616-504-6669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2566 22 Mile Rd NW",
            "address_purpose": "LOCATION",
            "city": "Kent City",
            "state": "MI",
            "postal_code": "493309203",
            "country_code": "US",
            "telephone_number": "616-272-8378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6241017318",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401222924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14470467",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "counselingsrice@gmail.com",
            "affiliation": "N",
            "endpointDescription": "personal e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "text",
            "address_1": "2566 22 Mile Rd NW",
            "city": "Kent City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493309203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srice@kccpllc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "counselingsrice@gmail.com",
            "address_1": "3500 Byron Center Ave SW",
            "city": "Wyoming",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495193260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.