Koinonia Professional Counseling Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401009315 Issued in MI

Legal business name

KOINONIA PROFESSIONAL COUNSELING SERVICES LLC

Practice address

233 Fulton St E Ste 209E
Grand Rapids, MI 49503-3200

Phone

(616) 279-9978

Fax

(616) 724-4331

NPI assigned

Apr 1, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Isaac Gordon Watts, MA, LPCNPI 1992920938

Title

Owner

Phone

(616) 818-6637

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isaac Gordon Watts, M.A., L.P.C.

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1992920938
  NPD Authorized official

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1780079210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 FULTON ST E STE 209E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033200",
            "telephone_number": "616-279-9978",
            "fax_number": "616-724-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 FULTON ST E STE 209E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033200",
            "telephone_number": "616-279-9978",
            "fax_number": "616-724-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOINONIA PROFESSIONAL COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-818-6637",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Kogler, PA-C
• Jim Gerard Kohane
• Lisa Kohlbeck
• Mackenzie Kohn, BT
• Madison Kohn
• Joshua Kok, LMSW
• Saheli Ghosh Kokoruda, DO
• Stephanie Michelle Kokot, LMSW
• Christian Kolacki
• Courtney Kolanowski, CRNA

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.