Individual provider Active NPI

Sara Alison Furlette-Koski, M.A. A.T.C.

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1841681129
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801118081 Issued in MI
Practice address
851 Mount Pleasant Ave
Ann Arbor, MI 48103-4776
Phone
(269) 352-1814
NPI assigned
Feb 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 096.003597 IL
Clinical Social Worker 1041C0700X 6801118081 MI Primary

Addresses

Primary practice location

851 Mount Pleasant Ave
Ann Arbor, MI 48103-4776

Mailing address

851 Mount Pleasant Ave
Ann Arbor, MI 48103-4776
Phone (269) 352-1814

Other practice location 1

450 S. Brainard St.
North Central College
Naperville, IL 60540
Phone (630) 637-5534

Other identifiers 1

IdentifierTypeStateIssuer
6801118081MedicaidMI

Other names 1

  • Sara Alison Koski Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sara@radicalhealthwellness.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6801118081MIMDClinical Social Worker
096.003597ILMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1841681129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 MOUNT PLEASANT AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034776",
            "telephone_number": "269-352-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 MOUNT PLEASANT AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034776",
            "telephone_number": "269-352-1814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 S. Brainard St.",
            "address_2": "North Central College",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "60540",
            "country_code": "US",
            "telephone_number": "630-637-5534",
            "fax_number": "630-637-5571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURLETTE-KOSKI",
        "first_name": "SARA",
        "middle_name": "ALISON",
        "name_prefix": "Mrs.",
        "credential": "M.A. A.T.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.003597",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801118081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6801118081",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sara@radicalhealthwellness.org",
            "affiliation": "N",
            "address_1": "851 Mount Pleasant Ave",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481034776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "KOSKI",
            "middle_name": "ALISON",
            "credential": "M.A. A.T.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.