Active NPI
Bailie Rouse
- Mental Health Counselor
- Grand Rapids, MI
National Provider Identifier
1942834031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401018087
- Practice address
- 1939 S Division Ave.
Grand Rapids, MI 49507 - Phone
- (616) 247-3815
- NPI assigned
- Feb 27, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401018087 | MI | Primary |
Addresses
Primary practice location
1939 S Division Ave.
Grand Rapids, MI 49507
Mailing address
1939 S Division Ave.
Grand Rapids, MI 49507
Phone (616) 247-3815
Other names 1
- Bailie Koster
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 |
|---|---|---|---|
| 6401018087 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1942834031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 S DIVISION AVE.",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49507",
"telephone_number": "616-247-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 S DIVISION AVE.",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49507",
"telephone_number": "616-247-3815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSE",
"first_name": "BAILIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-27",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401018087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BAILIE",
"last_name": "KOSTER",
"code": "1",
"type": "Former Name"
}
]
}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 Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.