Individual provider Active NPI

Ruth Elaine Kohley, LMSW

  • Clinical Social Worker
  • Grandville, MI
National Provider Identifier
1851449623
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801063697 Issued in MI
Practice address
2976 Ivanrest Ave SW Ste 205
Grandville, MI 49418-1440
Phone
(616) 261-0888
Fax
(616) 261-3047
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801063697 MI Primary

Addresses

Primary practice location

2976 Ivanrest Ave SW Ste 205
Grandville, MI 49418-1440

Mailing address

2976 Ivanrest Ave SW Ste 205
Grandville, MI 49418-1440
Phone (616) 261-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200111000070 MI Practitioner - Clinical Social Worker 6800221367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kohley Counseling LLCGroup PAC ID 2163857566, 2 clinicians

Practice addresses (Care Compare)

2976 Ivanrest Ave SW
Suite 205
Grandville, MI 49418-1440
Phone (616) 419-8572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kohley Counseling LLC Clinical CurrentSince Jan 1, 2020 Accepting new patients
ML Counseling LLC Clinical CurrentSince Nov 1, 2023 Accepting new patients

Locations

2976 Ivanrest Ave SW
Ste 205
Grandville, MI 49418
Phone (616) 261-0888

Organizations & group practices 2

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851449623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 IVANREST AVE SW STE 205",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181440",
            "telephone_number": "616-261-0888",
            "fax_number": "616-261-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2976 IVANREST AVE SW STE 205",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181440",
            "telephone_number": "616-261-0888",
            "fax_number": "616-261-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLEY",
        "first_name": "RUTH",
        "middle_name": "ELAINE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801063697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

Verify at the official NPI Registry.