Individual provider Active NPI

Nichole Danelle Kurth, LMSW

  • Social Worker
  • Holland, MI
National Provider Identifier
1689733438
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6802085589 Issued in MI
Practice address
12265 James St
Building a-1
Holland, MI 49424-8613
Phone
(616) 392-1873
Fax
(616) 393-5687
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6802085589 MI Primary

Addresses

Primary practice location

12265 James St
Building a-1
Holland, MI 49424-8613

Mailing address

3356 Collingwood Ave SW
Wyoming, MI 49519-3219
Phone (616) 532-4113

Other names 1

  • Nichole Danelle Kosten Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190724003306 MI Practitioner - Clinical Social Worker 4183950405 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6802085589MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Circle Corporation CurrentSince Jun 15, 2019 Accepting new patients
County of Muskegon CurrentSince May 23, 2024 Accepting new patients
Serenity Shores Counseling, LLC CurrentSince Mar 20, 2025 Accepting new patients
County of Muskegon CurrentSince May 23, 2024 Accepting new patients
Hackley Community Care Center Inc Past Accepting new patients

Locations

1101 Ball Ave NE
Grand Rapids, MI 49505
Phone (616) 456-7775

1115 Ball Ave NE
Grand Rapids, MI 49505
Phone (616) 451-3001

376 E Apple Ave
Muskegon, MI 49442
Phone (231) 724-3699

640 Seminole Rd
Norton Shores, MI 49441
Phone (231) 332-3827

800 E Ellis Rd
#61B
Norton Shores, MI 49441
Phone (616) 802-7596

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1689733438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3356 COLLINGWOOD AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495193219",
            "telephone_number": "616-532-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12265 JAMES ST",
            "address_2": "BUILDING A-1",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248613",
            "telephone_number": "616-392-1873",
            "fax_number": "616-393-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTH",
        "first_name": "NICHOLE",
        "middle_name": "DANELLE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802085589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "KOSTEN",
            "middle_name": "DANELLE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.