Fruit Belt Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FRUIT BELT COUNSELING PLLC

Practice address

1207 W Maple St
Kalamazoo, MI 49008-1845

Phone

(630) 750-2674

NPI assigned

Oct 24, 2022

Last updated

Oct 24, 2022By 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

Baylie Roth, LCSWNPI 1467964197

Title

Director

Phone

(630) 750-2674

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Baylie Zheutlin Roth, LSW

  • Social Worker
  • Chicago, IL
  • NPI 1467964197
  NPD Authorized official

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1669199378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 W MAPLE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 W MAPLE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081845",
            "telephone_number": "630-750-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUIT BELT COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "BAYLIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-750-2674",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brighid Helene Fronapfel, M.S., BCBA, TLLP
• Eva M. Fronk, MSN, CNM
• Sharon G Froom, LLP
• Kali Christine Frostell, LLMSW
• Julia Sophie Fruh, M.D.
• Jose Fuertes, M.D.
• Noelle Kimiko Fukuda
• Samantha Marie Fuller
• Susan Fuller, RNC WHNP
• Sarah Fullmer

• Clinical Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.