Individual provider Active NPI

Kari Elizabeth Eckert

  • Social Worker
  • Saint Joseph, MI
National Provider Identifier
1518480391
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801101581 Issued in MI
Practice address
830 Pleasant St Ste 201
Saint Joseph, MI 49085-2279
Phone
(269) 982-3832
NPI assigned
Jul 24, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801101581 MI Primary

Addresses

Primary practice location

830 Pleasant St Ste 201
Saint Joseph, MI 49085-2279

Mailing address

4384 Laurel Dr
Saint Joseph, MI 49085-9311
Phone (269) 982-3832

Other practice location 1

4341 S Westnedge Ave Ste 1103
Kalamazoo, MI 49008-3283
Phone (269) 982-3832

Other identifiers 1

IdentifierTypeStateIssuer
6279049MedicaidMI

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

LicenseStateTypeSpecialty
6801101581MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Therapy & Development Centers Inc PastSince Oct 22, 2019 Accepting new patients
Donarski Center for Mental Health Counseling PastSince Jan 17, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1518480391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4384 LAUREL DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859311",
            "telephone_number": "269-982-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PLEASANT ST STE 201",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852279",
            "telephone_number": "269-982-3832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4341 S Westnedge Ave Ste 1103",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490083283",
            "country_code": "US",
            "telephone_number": "269-982-3832",
            "fax_number": "269-281-0351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKERT",
        "first_name": "KARI",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801101581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6279049",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.