KRISTINE KOETJE MA, PC (NPI# 1316010770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316010770 |
| Entity Type | Organization |
| Organization Name | KRISTINE KOETJE MA, PC |
| Other Organization Name | COMPASSIONATE CHRISTIAN COUNSELING |
| Practice Address |
17224 Van Wagoner Rd Spring Lake MI 49456-9702 |
| Practice Telephone | 6162962130 |
| Practice Fax Number | 6162962148 |
| Mailing Telephone | 6162962130 |
| Mailing Fax Number | 6162962148 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2016-11-30 |
| Authorized Official Name | MS. KRISTINE A KOETJE (PRESIDENT) |
| Authorized Official Telephone | 6162962130 |
| Authorized Official Credential | MA LLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301008186 | MI | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Compassionate Christian Counseling | Doing Business As Name - Organization |
| Street Address |
17224 VAN WAGONER RD |
| City | SPRING LAKE |
| State | MI |
| Zip Code | 49456-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518589126 | Shandra Smith | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2020-05-18 |
| 1942857552 | Cindy Joy Steenstra | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2019-08-20 |
| 1942702816 | Adam Richard Shanty | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2018-03-06 |
| 1396283826 | Douglas Moorhead | Psychologist | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2017-02-03 |
| 1598120545 | Kristine Koetje, Ma Lp | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2015-12-17 |
| 1871967018 | Cheryl Kallio | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2015-11-28 |
| 1770956864 | Compassionate Christian Counseling | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2015-11-11 |
| 1174833750 | Douglas Alan Wilson | Counselor | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2010-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376066001 | Kathleen Ann Bates | Nurse Practitioner | 16036 Baird Dr, Spring Lake, MI 49456 | 2017-07-25 |
| 1174859763 | David A Buursma | Physical Therapist | 16140 148th Avenue, Spring Lake Community Fitness & Aquatic Center, Spring Lake, MI 49456 | 2009-11-02 |
| 1720314552 | Arthur Linwood Brown II | Surgery | 18925 North Shore Dr., Spring Lake, MI 49456 | 2009-10-29 |
| 1700050531 | Ann Holmgren Harris | Clinical Nurse Specialist | 17353 Hazel St, Suite 212, Spring Lake, MI 49456 | 2008-04-14 |
| 1932320421 | Julie A Bench | Physical Therapist | 15414 Stoneridge Ct, Spring Lake, MI 49456 | 2007-05-01 |
| 1730304130 | Phillip Allen Morse | Pharmacist | 603 E Savidge, Spring Lake, MI 49456 | 2007-04-13 |
| 1821125592 | Patrick Scott Karwowski | Pharmacist | 603 E Savidge St, Spring Lake, MI 49456 | 2007-02-28 |
| 1528126521 | Debra Kaye Cargo | Social Worker | 107 South Division, Spring Lake, MI 49456 | 2006-12-04 |
| 1396821377 | Hometown Pharmacy Inc | Pharmacy | 17717 174th Ave, Spring Lake, MI 49456 | 2006-10-31 |
| 1710071360 | Link Dephouse | Physical Therapist | 16200 Old Orchard Dr, Spring Lake, MI 49456 | 2006-10-03 |
| Find all providers in zip 49456 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487873493 | Christine M. Platt, Ph.d., Plc | Psychologist | 225 E Exchange St, Spring Lake, MI 49456-2020 | 2007-04-25 |
| 1619905262 | Yoshiko Yamamoto | Psychologist | 1111 Shell Dr Apt 60, Spring Lake, NC 28390-2052 | 2006-06-30 |
| 1861030959 | Megan Shinaberry | Psychologist | 1018 N Bragg Blvd, Spring Lake, NC 28390-3316 | 2019-12-19 |
| 1396283826 | Douglas Moorhead | Psychologist | 17224 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2017-02-03 |
| 1508119892 | Jordan Charles Engelhard | Psychologist | 17325 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2012-10-24 |
| 1982751582 | Kerry M. Farrell | Psychologist | 1405 3rd Ave, Suite 4, Spring Lake, NJ 07762-1450 | 2007-01-04 |
| 1346330438 | Mark B Mahacek | Psychologist | 19100 N Fruitport Rd, Spring Lake, MI 49456-1165 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1932700036 | Estela M Rivero | Psychologist | 2627 Oak Valley Dr Apt 205, Ann Arbor, MI 48103-7705 | 2020-11-04 |
| 1144829037 | Damon Moore | Psychologist | 15450 E Jefferson Ave Ste 180, Grosse Pointe Park, MI 48230-2031 | 2020-10-21 |
| 1073112355 | Sarah Nicole Kesler | Psychologist | 230 Collingwood St Ste 250, Ann Arbor, MI 48103-3845 | 2020-10-19 |
| 1518564947 | Margaret L Blevins | Psychologist | 21769 Meridian Rd, Grosse Ile, MI 48138-1453 | 2020-10-08 |
| 1770197717 | Susan J Goldberg | Psychologist | 442 Randolph St, Northville, MI 48167-1465 | 2020-09-08 |
| 1255944096 | Eric S. Samson | Psychologist | 2045 E West Maple Rd Ste D405, Commerce Township, MI 48390-3801 | 2020-08-30 |
| 1891308904 | Susan Gottlieb Phd LLC | Psychologist | 23800 Orchard Lake Rd Ste 104, Farmington Hills, MI 48336-2561 | 2020-08-28 |
| 1538784012 | Bethany S Gourley | Psychologist | 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 | 2020-06-10 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
| City | SPRING LAKE |
| Zip Code | 49456 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.