Active NPI
Rachel Lynn Kyle, MA, LLPC
- Professional Counselor
- Holland, MI
National Provider Identifier
1487303434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6451022111
- Practice address
- 170 College Ave Ste 310
Holland, MI 49423-2982 - Phone
- (616) 426-9034
- NPI assigned
- Mar 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6451022111 | MI | Primary |
Addresses
Primary practice location
170 College Ave Ste 310
Holland, MI 49423-2982
Mailing address
1010 N Baywood Dr
Holland, MI 49424-2533
Phone (616) 502-0980
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451022111 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Second Story Counseling II LLC | Professional | Current | Accepting new patients |
Locations
170 College Ave
Ste 310
Holland, MI 49423
Phone (616) 426-9034
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": "1647561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1487303434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N BAYWOOD DR",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494242533",
"telephone_number": "616-502-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 COLLEGE AVE STE 310",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494232982",
"telephone_number": "616-426-9034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYLE",
"first_name": "RACHEL",
"middle_name": "LYNN",
"credential": "MA, LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-18",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6451022111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.