Children's Assessment Center

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

CHILDREN'S ASSESSMENT CENTER

Doing business as

Children's Advocacy Center

Practice address

12125 Union St
Holland, MI 49424-8603

Phone

(616) 393-6123

Fax

(616) 393-0918

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Darcy Komejan, M.D.MSW

Title

Executive Director

Phone

(616) 393-6123

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Children's Advocacy Center Doing business as

Locations

Practitioners 2

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.

• Rachael Dewitt

  • Clinical Social Worker
  • Holland, MI
  • NPI 1548686215
  NPD (past)
• Allison Watson, LMSW

  • Clinical Social Worker
  • Allendale, MI
  • NPI 1376918664
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528166204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12125 UNION ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248603",
            "telephone_number": "616-393-6123",
            "fax_number": "616-393-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12125 UNION ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248603",
            "telephone_number": "616-393-6123",
            "fax_number": "616-393-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S ASSESSMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOMEJAN",
        "authorized_official_first_name": "DARCY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-393-6123",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.D.MSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4574743",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Advocacy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beth E Cherin, MA, LPC, NCC
• Cherry Street Services, Inc. (Lakeside Clubhouse)
• Brianna T Chesser, PT
• Frida Sophia Chico
• Rebecca Janine Chicoine-Adams, DDS
• Ashley Childs, LMSW
• Cristan Nicole Chinn, PTA
• Yvette Chiquito, MSW, LMSW
• Rajus Chopra, M.D.
• Johnny Chov

• Counselor in Holland, MI
• Providers in Holland, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.