Individual provider Active NPI

Jeffrey Konfara, LPC

  • Professional Counselor
  • Holland, MI
National Provider Identifier
1780187286
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401012024 Issued in MI
Practice address
225 W 30TH St
Holland, MI 49423-6928
Phone
(616) 334-7741
NPI assigned
Mar 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401012024 MI
Mental Health Counselor 101YM0800X 6401012024 MI
Professional Counselor 101YP2500X 6401012024 MI Primary

Addresses

Primary practice location

225 W 30TH St
Holland, MI 49423-6928

Mailing address

139 W 37TH St
Holland, MI 49423-5211
Phone (616) 334-7741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 12, 2024 through Dec 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401012024MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Konfara Counseling and Supervision LLC Mental Health CurrentSince Dec 26, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1780187286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 W 37TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235211",
            "telephone_number": "616-334-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W 30TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494236928",
            "telephone_number": "616-334-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONFARA",
        "first_name": "JEFFREY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401012024",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012024",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.