Organization Active NPI

Sara Marie Rice

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wyoming, MI
National Provider Identifier
1619533577
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SARA MARIE RICE
Doing business as
Koinonia Counseling Center
Practice address
3500 Byron Center Ave SW
Wyoming, MI 49519-3260
Phone
(616) 208-9337
Fax
(616) 208-9337
NPI assigned
May 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Sara Marie Rice, LPCNPI 1477119329
Title
Owner
Phone
(616) 208-9337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3500 Byron Center Ave SW
Wyoming, MI 49519-3260

Mailing address

2566 22 Mile Rd NW
Kent City, MI 49330-9203
Phone (616) 208-9337

Other identifiers 1

IdentifierTypeStateIssuer
14470467OtherCAQH

Other names 1

  • Koinonia Counseling Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL counselingsrice@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1619533577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 22 MILE RD NW",
            "city": "KENT CITY",
            "state": "MI",
            "postal_code": "493309203",
            "telephone_number": "616-208-9337",
            "fax_number": "616-208-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BYRON CENTER AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495193260",
            "telephone_number": "616-208-9337",
            "fax_number": "616-208-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA MARIE RICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-208-9337",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14470467",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "counselingsrice@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2566 22 Mile Rd NW",
            "city": "Kent City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493309203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Koinonia Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Koinonia Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.