Active NPI
Remembered Knowing Therapy LLC
- Adult Mental Health Clinic/Center
- Grandville, MI
National Provider Identifier
1508593005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- REMEMBERED KNOWING THERAPY LLC
- Practice address
- 3181 Prairie St SW Ste 114
Grandville, MI 49418-2097 - Phone
- (616) 483-0335
- NPI assigned
- Aug 4, 2022
- Last updated
- Aug 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Stark, LLMSW
- Title
- Owner
- Phone
- (616) 483-0335
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Adult Mental Health Clinic/Center | 261QM0850X | NU | Primary |
Addresses
Primary practice location
3181 Prairie St SW Ste 114
Grandville, MI 49418-2097
Mailing address
6111 Summerhill CT
Hudsonville, MI 49426-8913
Phone (616) 483-0335
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Grandville, MI
- NPI 1720715220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661385600000",
"number": "1508593005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6111 SUMMERHILL CT",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494268913",
"telephone_number": "616-483-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 PRAIRIE ST SW STE 114",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494182097",
"telephone_number": "616-483-0335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REMEMBERED KNOWING THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-04",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A",
"authorized_official_last_name": "STARK",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-483-0335",
"authorized_official_credential": "LLMSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grandville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.