Organization Active NPI

Sankofa Counseling & Consulting

  • Clinical Social Worker
  • Saint Joseph, MI
National Provider Identifier
1629461827
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095782 Issued in MI
Legal business name
SANKOFA COUNSELING & CONSULTING
Practice address
1101 Broad St
Saint Joseph, MI 49085-1790
Phone
(269) 290-6754
NPI assigned
Mar 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Gerald Brooks
Title
Owner
Phone
(269) 425-6727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801095782 MI Primary

Addresses

Primary practice location

1101 Broad St
Saint Joseph, MI 49085-1790

Mailing address

6928 Rothbury St
Portage, MI 49024-3151
Phone (269) 425-6727

National Provider Directory

National Provider Directory

Locations

1101 Broad St
Saint Joseph, MI 49085
Phone (269) 290-6754

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1629461827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6928 ROTHBURY ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243151",
            "telephone_number": "269-425-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BROAD ST",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851790",
            "telephone_number": "269-290-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANKOFA COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-425-6727"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.