MRS. SARAH E.W. KOON (NPI# 1811249691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811249691 |
Entity Type | Individual |
Full Name | MRS. SARAH E.W. KOON |
Credential | LMHC, LCAC, LPC |
Practice Address |
805 Leonard St Ne Grand Rapids MI 49503-1138 |
Mailing Address |
105 Rollingrock Dr Rockford MI 49341-1197 |
Practice Telephone | 6164512021 |
Mailing Telephone | 5174480228 |
Enumeration Date | 2012-10-04 |
Last Update Date | 2020-06-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
87001563A | IN | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3072-A | NC | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
A9927 | NC | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
A9927 | NC | Behavioral Health & Social Service Providers |
Y | 103TC1900X |
Psychologist Specialization: Counseling |
6401016578 | MI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 000000000 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2423 Fairfield Ave, Fort Wayne, IN 468071210 | 2607459431 |
Street Address |
805 LEONARD ST NE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49503-1138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801929435 | D A Blodgett-st Johns | Social Worker | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2007-03-13 |
1023628864 | Aubrey Jo Longstreet | Social Worker | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2020-08-06 |
1679190169 | Emma Mannes | Social Worker | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2020-06-30 |
1952922023 | Isabel Berkson | Social Worker | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2020-04-30 |
1144860008 | Hanna Elizabeth Pearson | Behavior Technician | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2020-01-08 |
1891333407 | Elizabeth Kathleen Downing | Social Worker | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2019-12-13 |
1922649102 | Bradley J Wallsteadt | Social Worker | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2019-09-30 |
1568019693 | Lauren Nicole Cross | Behavior Technician | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2019-08-22 |
1336795517 | Sierra Lynn Williams | Social Worker | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2019-08-14 |
1851947246 | Dana Christine Hulst | Social Worker | 805 Leonard St Ne, Grand Rapids, MI 49503-1138 | 2019-08-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
Find all providers in zip 49503 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609416197 | Alexander Sydney Houseknecht | Psychologist | 337 Visser Pl Se, Grand Rapids, MI 49506-1541 | 2020-01-13 |
1730745852 | Kls Counseling LLC | Psychologist | 688 Cascade West Pkwy Se, Grand Rapids, MI 49546-2171 | 2019-05-14 |
1609347285 | Luwillis Gibson | Psychologist | 1014 Dunham St Se, Grand Rapids, MI 49506-2659 | 2018-12-07 |
1598257966 | Austin Knight | Psychologist | 1010 Watson St Sw, Grand Rapids, MI 49504-6148 | 2018-06-01 |
1609203694 | Lynn Jackson | Psychologist | 456 Plymouth Ave Ne Ste B, Grand Rapids, MI 49505 | 2013-10-04 |
1184996969 | Joseph Edward Budnick | Psychologist | 1150 Brownwood Ave Nw, Grand Rapids, MI 49504-3653 | 2012-02-08 |
1265660963 | Gary Michael Cole | Psychologist | 1115 Ball Ave Ne Bldg C, Grand Rapids, MI 49505-5904 | 2009-07-01 |
1073763710 | Kylene Lynn Schipper | Psychologist | 3300 36th St, Grand Rapids, MI 49518-0007 | 2008-09-30 |
1295986933 | Jeffrey Alan Bootzin | Psychologist | 330 Eastern Ave Se, Grand Rapids, MI 49503-4737 | 2008-09-30 |
1770730434 | Kurt Thomas Ellis | Psychologist | 4920 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49525-1010 | 2008-08-25 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49503 |
Please comment or provide details below to improve the information on MRS. SARAH E.W. KOON.
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.