Kristine Koetje Ma, PC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

KRISTINE KOETJE MA, PC

Practice address

17224 Van Wagoner Rd
Spring Lake, MI 49456-9702

Phone

(616) 296-2130

Fax

(616) 296-2148

NPI assigned

Jul 10, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Kristine E Koetje-Balder, MA LLP

Title

Director

Phone

(231) 799-8182

Specialties & licenses 5

Addresses

Other names 1

• Compassionate Christian Counseling Doing business as

Tax ID family

Compassionate Christian Counseling3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Compassionate Christian Counseling

  • Professional Counselor
  • Spring Lake, MI
  • NPI 1770956864
  NPD tax ID
• Kristine Koetje, Ma LP

  • Mental Health Counselor
  • Spring Lake, MI
  • NPI 1598120545
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberlee Kae Erickson-Worpel, MA, LLP

  • Counseling Psychologist
  • Norton Shores, MI
  • NPI 1629377569
  NPD (past)
• Kristine A Koetje, MA LPC LLP

  • Counselor
  • Spring Lake, MI
  • NPI 1164595526
  NPD (past)
• Timothy L. Mills, PSY.D.

  • Clinical Psychologist
  • Muskegon, MI
  • NPI 1053642660
  NPD (past)

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1609131192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17224 VAN WAGONER RD",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569702",
            "telephone_number": "616-296-2130",
            "fax_number": "616-296-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17224 VAN WAGONER RD",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569702",
            "telephone_number": "616-296-2130",
            "fax_number": "616-296-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE KOETJE MA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "KOETJE-BALDER",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "231-799-8182",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA LLP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Christian Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristine A Koetje, MA LPC LLP
• Michelle Koetje, PT, DPT
• Kowalski Counseling
• Kylee M Kowalski, DLLP
• Kristine Koetje Ma, PC
• Kristine Koetje, Ma LP
• Lake Shore Pulmonology, PLC
• Lakeshore Integrative Health Center PLLC
• Terry Lanigan, LMSW, CFT
• Tonia Joy Lans, LPC

• Counselor in Spring Lake, MI
• Providers in Spring Lake, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.