Active NPI
Collin M Carey, LLPC
- Counselor
- Grand Rapids, MI
National Provider Identifier
1912629312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6451022410
- Practice address
- 2215 29TH St SE Ste B8A
Grand Rapids, MI 49508-1565 - Phone
- (616) 404-7004
- NPI assigned
- Sep 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6451022410 | MI | Primary |
Addresses
Primary practice location
2215 29TH St SE Ste B8A
Grand Rapids, MI 49508-1565
Mailing address
891 Gabrielle CT NE
Grand Rapids, MI 49505-6409
Phone (616) 914-8186
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451022410 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Center for Wholeness, LLC | Current | Accepting new patients |
Locations
2215 29th St SE
Ste B8A
Grand Rapids, MI 49508
Phone (616) 227-0438
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.
-
- Mental Health Counselor
- Grand Rapids, MI
- NPI 1609352525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1912629312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "891 GABRIELLE CT NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495056409",
"telephone_number": "616-914-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 29TH ST SE STE B8A",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495081565",
"telephone_number": "616-404-7004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "COLLIN",
"middle_name": "M",
"credential": "LLPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-13",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6451022410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.