Individual provider Active NPI

Amy Knapp

  • Professional Counselor
  • Grand Haven, MI
National Provider Identifier
1558845180
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401020341 Issued in MI
Practice address
700 Washington Ave Ste 220
Grand Haven, MI 49417-1462
Phone
(616) 842-6710
NPI assigned
Sep 19, 2018
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401020341 MI Primary

Addresses

Primary practice location

700 Washington Ave Ste 220
Grand Haven, MI 49417-1462

Mailing address

PO Box 5313
Muskegon, MI 49445-0313

Other practice location 1

483 Century Ln
Holland, MI 49423-4286
Phone (616) 396-5284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240326002128 MI Practitioner - Mental Health Counselor 8022455070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reach for Recovery IncGroup PAC ID 1052415866, 6 clinicians

Practice addresses (Care Compare)

483 Century LN
Holland, MI 49423-4286
Phone (616) 396-5284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reach for Recovery, Inc. CurrentSince Feb 29, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Feb 6, 2026 Accepting new patients
Reach for Recovery, Inc. CurrentSince Feb 29, 2024 Accepting new patients

Locations

483 Century Ln
Holland, MI 49423
Phone (616) 396-5284

Organizations & group practices 3

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1558845180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5313",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494450313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WASHINGTON AVE STE 220",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171462",
            "telephone_number": "616-842-6710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "483 Century Ln",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494234286",
            "country_code": "US",
            "telephone_number": "616-396-5284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401020341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.