Jodie Kyes Supportive Solutions Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

JODIE KYES SUPPORTIVE SOLUTIONS INC.

Practice address

3527 Keppel LN
Saugatuck, MI 49453-9428

Phone

(616) 403-3964

NPI assigned

Apr 13, 2020

Last updated

Apr 13, 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

Jodie Kyes, LPC. CEAP

Title

Eap Counselor / Consultant

Phone

(616) 403-3964

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jodie Kyes Supportive Solutions Inc. Former legal business name

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1609495480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 KEPPEL LN",
            "city": "SAUGATUCK",
            "state": "MI",
            "postal_code": "494539428",
            "telephone_number": "616-403-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 KEPPEL LN",
            "city": "SAUGATUCK",
            "state": "MI",
            "postal_code": "494539428",
            "telephone_number": "616-403-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODIE KYES SUPPORTIVE SOLUTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "KYES",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "EAP COUNSELOR / CONSULTANT",
        "authorized_official_telephone_number": "616-403-3964",
        "authorized_official_credential": "LPC. CEAP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053783092",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jodie Kyes Supportive Solutions Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Katherine Gentry, LMSW
• Josilyn Nicole Grotenhuis
• Alice Hanes, O.D.
• Lori Jean Hoezee, OTR
• Holland Community Hospital
• Amy Elizabeth Kyes, APRN BC
• Lakeshore Pharmacies, Inc. (Saugatuck Drug)
• James Lynch, MD
• Thomas Francis Mooney, EDD
• David Moore, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.