Andrew Ernst Kossek

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851115573 Issued in MI

Practice address

233 Fulton St E Ste 222
Grand Rapids, MI 49503-3262

Phone

(616) 490-3468

NPI assigned

Nov 22, 2022

Last updated

Nov 22, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Heartstone Guidance Center LLC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1831605567
  NPD

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1689383283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 FAIR ST APT 3",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862946",
            "telephone_number": "517-974-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 FULTON ST E STE 222",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033262",
            "telephone_number": "616-490-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSEK",
        "first_name": "ANDREW",
        "middle_name": "ERNST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851115573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "andrewkossek@heartstoneguidancecenter.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "233 Fulton St E Ste 222",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495033262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tyler Douglas Kosik, PHARMD
• Andrea Darlene Koski, LMSW, QIDP
• Diana Lowry Koslowske, O.D.
• Kaylee Koslowske
• Michelle C Kosovec, M.D.
• John Michael Kosta, M.D.
• Kathryn Kostal, LLPC
• Alina Koster, LMSW
• Elizabeth Marie Koster
• Sara L Koster, FNP-BC

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 Nov 22, 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.