NPIMap

Organization Active NPI

Whole Life Counseling PLLC

  • Community/Behavioral Health Agency
  • Kalamazoo, MI
National Provider Identifier
1700100989
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
.6401005003 Issued in MI
Legal business name
WHOLE LIFE COUNSELING PLLC
Practice address
1011 W Maple St Ste 400
Kalamazoo, MI 49008-5806
Phone
(269) 353-7607
Fax
(269) 888-2260
NPI assigned
Mar 17, 2010
Last updated
Jun 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Susan Rae HallNPI 1295010064
Title
Director
Phone
(269) 345-5776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X .6401005003 MI Primary

Addresses

Primary practice location

1011 W Maple St Ste 400
Kalamazoo, MI 49008-5806

Mailing address

1011 W Maple St Ste 400
Kalamazoo, MI 49008-5806
Phone (269) 353-7607

Other practice location 1

426 Solon St
Kalamazoo, MI 49006-4289
Phone (269) 353-7607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210615000763 MI Part B Supplier - Clinic/Group Practice 8123428000 Receives reassigned benefits from 6 practitioners
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory

Locations

1011 W Maple St
Ste 400
Kalamazoo, MI 49008
Phone (269) 353-7607

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1700100989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W MAPLE ST STE 400",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490085806",
            "telephone_number": "269-353-7607",
            "fax_number": "269-888-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W MAPLE ST STE 400",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490085806",
            "telephone_number": "269-353-7607",
            "fax_number": "269-888-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 Solon St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490064289",
            "country_code": "US",
            "telephone_number": "269-353-7607",
            "fax_number": "269-344-0453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHOLE LIFE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2021-06-09",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "269-345-5776"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": ".6401005003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.