NPIMap

Organization Active NPI

Reconciliation of Life

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1942739156
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401011542 Issued in MI
Legal business name
RECONCILIATION OF LIFE
Practice address
1028 Cass Ave SE
Grand Rapids, MI 49507-1120
Phone
(616) 241-3396
NPI assigned
Jun 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Wanda Ann Rogers, MA, EDDNPI 1659800878
Title
Director
Phone
(616) 241-3396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 6401011542 MI Primary

Addresses

Primary practice location

1028 Cass Ave SE
Grand Rapids, MI 49507-1120

Mailing address

1028 Cass Ave.SE
Grand Rapids, MI 49507
Phone (616) 241-3396

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherI HAE ON OTHER IDENTIFERS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942739156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 CASS AVE.SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49507",
            "telephone_number": "616-241-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 CASS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495071120",
            "telephone_number": "616-241-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONCILIATION OF LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "616-241-3396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MA, EDD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I HAE ON OTHER IDENTIFERS",
            "identifier": "NONE",
            "state": null
        }
    ],
    "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 Jul 21, 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.

Verify at the official NPI Registry.