Christopher John Kowal, MA, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451023005 Issued in MI

Practice address

801 Oakland Ave SW
Grand Rapids, MI 49503-5057

Phone

(616) 819-2947

NPI assigned

May 29, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Counseling Center of West Michigan, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1437610730
  NPD (past)

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1689367591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6895 MYERS LAKE AVE NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418881",
            "telephone_number": "248-798-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OAKLAND AVE SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035057",
            "telephone_number": "616-819-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWAL",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "credential": "MA, LLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451023005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharyn Kouchnerkavich
• Jody Koutz, RD
• Anett Kovacs, RD
• Caitlin Kovalak
• Aleica L Kovatch, PA
• Conor Kowalczyk
• Courtney Lynne Kowalczyk, PHD, LLP
• Katherine Ellen Kowalczyk, D.O.
• Lilly Kowalczyk
• Polly Kowalka, LBSW

• Mental Health Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.