Organization Active NPI

Ubuntu Therapy Healing Through Community Inclusion LLC

  • Social Worker
  • Kalamazoo, MI
National Provider Identifier
1619563616
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
UBUNTU THERAPY HEALING THROUGH COMMUNITY INCLUSION LLC
Practice address
821 W South St Ste B
Kalamazoo, MI 49007-4664
Phone
(269) 205-8566
Fax
(269) 585-5954
NPI assigned
Dec 15, 2020
Last updated
Dec 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Marybeth Houpt
Title
Credentialing
Phone
(517) 676-9788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

821 W South St Ste B
Kalamazoo, MI 49007-4664

Mailing address

PO Box 10
Mason, MI 48854-0010

National Provider Directory

National Provider Directory

Locations

821 W South St
Ste B
Kalamazoo, MI 49007
Phone (269) 205-3934

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1619563616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W SOUTH ST STE B",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074664",
            "telephone_number": "269-205-8566",
            "fax_number": "269-585-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UBUNTU THERAPY HEALING THROUGH COMMUNITY INCLUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARYBETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9788"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.