Purposed Life Counseling Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PURPOSED LIFE COUNSELING SERVICES

Practice address

8 E Bridge St Ste D1
Rockford, MI 49341-1601

Phone

(616) 745-7507

NPI assigned

Sep 22, 2021

Last updated

Sep 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kristy Lorene Burks, LMSWNPI 1548536212

Title

Owner

Phone

(616) 745-7507

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kristy L Burks, LLMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1548536212
  NPD Authorized official

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1821769548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E BRIDGE ST STE D1",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411601",
            "telephone_number": "616-745-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E BRIDGE ST STE D1",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411601",
            "telephone_number": "616-745-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSED LIFE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "LORENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-745-7507",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Rockford, MI
• Providers in Rockford, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.