Active NPI
Patrick Mugi Kamau, THERAPIST
- Professional Counselor
- Grand Rapids, MI
National Provider Identifier
1508048331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401009290
- Practice address
- 901 Eastern Ave. NE
Grand Rapids, MI 49501-0294 - Phone
- (616) 254-7754
- NPI assigned
- Dec 4, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 6401009290 | MI | Primary |
Addresses
Primary practice location
901 Eastern Ave. NE
Grand Rapids, MI 49501-0294
Mailing address
901 Eastern Ave. NE
Grand Rapids, MI 49501-0294
Phone (616) 254-7754
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009290 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1508048331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 EASTERN AVE. NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495010294",
"telephone_number": "616-254-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 EASTERN AVE. NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495010294",
"telephone_number": "616-254-7754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMAU",
"first_name": "PATRICK",
"middle_name": "MUGI",
"name_prefix": "Mr.",
"credential": "THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-04",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401009290",
"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 Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.