Active NPI
The Connected Collective Wellness Center, LLC
- Professional Counselor
- Kalamazoo, MI
National Provider Identifier
1972399350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- THE CONNECTED COLLECTIVE WELLNESS CENTER, LLC
- Practice address
- 6120 Stadium Dr Ste 100
Kalamazoo, MI 49009-3022 - Phone
- (269) 366-0650
- Fax
- (269) 762-5957
- NPI assigned
- Apr 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Good, LPC, LMFT
- Title
- Owner/Clinical Director
- Phone
- (269) 808-8059
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Social Worker | 104100000X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
6120 Stadium Dr Ste 100
Kalamazoo, MI 49009-3022
Mailing address
6120 Stadium Dr Ste 100
Kalamazoo, MI 49009-3022
Phone (269) 366-0650
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Kalamazoo, MI
- NPI 1558686873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744675200000",
"number": "1972399350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6120 STADIUM DR STE 100",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490093022",
"telephone_number": "269-366-0650",
"fax_number": "269-762-5957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 STADIUM DR STE 100",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490093022",
"telephone_number": "269-366-0650",
"fax_number": "269-762-5957"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CONNECTED COLLECTIVE WELLNESS CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-15",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A",
"authorized_official_last_name": "GOOD",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
"authorized_official_telephone_number": "269-808-8059",
"authorized_official_credential": "LPC, LMFT"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.