Organization Active NPI

Channeling Change Counseling PLLC

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1952157109
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHANNELING CHANGE COUNSELING PLLC
Doing business as
Channeling Change Counseling PLLC
Practice address
347 Calkins Ave SE Unit E
Grand Rapids, MI 49506-1695
Phone
(989) 225-6657
NPI assigned
Apr 29, 2024
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Kylene Frank, LMSWNPI 1780243790
Title
LMSW
Phone
(989) 225-6657

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

347 Calkins Ave SE Unit E
Grand Rapids, MI 49506-1695

Mailing address

347 Calkins Ave SE Unit E
Grand Rapids, MI 49506-1695
Phone (989) 225-6657

Other names 1

  • Channeling Change Counseling PLLC Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1952157109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 CALKINS AVE SE UNIT E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061695",
            "telephone_number": "989-225-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 CALKINS AVE SE UNIT E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061695",
            "telephone_number": "989-225-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNELING CHANGE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "KYLENE",
        "authorized_official_title_or_position": "LMSW",
        "authorized_official_telephone_number": "989-225-6657",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Channeling Change Counseling PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 29, 2024; 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.