Organization Active NPI

Inland Seas Counseling, LLC

  • Professional Counselor
  • Traverse City, MI
National Provider Identifier
1972824480
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401007670 Issued in MI
Legal business name
INLAND SEAS COUNSELING, LLC
Practice address
1020 Hastings St Ste 105
Traverse City, MI 49686-3457
Phone
(231) 775-7660
Fax
(231) 421-3239
NPI assigned
Jun 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Ms. Nancy Louise Kollhoff, M.A., LPCNPI 1598909913
Title
General Manager
Phone
(231) 775-7660

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: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 6401007670 MI Primary

Addresses

Primary practice location

1020 Hastings St Ste 105
Traverse City, MI 49686-3457

Mailing address

3056 Tibbets Dr
Traverse City, MI 49696-9120
Phone (231) 775-7660

Other identifiers 1

IdentifierTypeStateIssuer
12122772OtherMICAQH

National Provider Directory

National Provider Directory

Locations

1020 Hastings St
Ste 105
Traverse City, MI 49686
Phone (231) 775-7660

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": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1972824480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3056 TIBBETS DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496969120",
            "telephone_number": "231-775-7660",
            "fax_number": "231-421-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 HASTINGS ST STE 105",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863457",
            "telephone_number": "231-775-7660",
            "fax_number": "231-421-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND SEAS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "KOLLHOFF",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "231-775-7660",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12122772",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.