KRISTINE KOETJE MA PC NPI 1609131192

NPI Information

  • NPI: 1609131192
  • Provider Name: KRISTINE KOETJE MA, PC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • :
  • Address: 17224 VAN WAGONER RD
    SPRING LAKE, MI
    ZIP 49456
  • Phone: (616) 296-2130

Map and Directions

Get Directions

NPI Details

KRISTINE KOETJE MA, PC is a counselor in Spring Lake, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. KRISTINE KOETJE MA, PC NPI is 1609131192. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

17224 VAN WAGONER RD
SPRING LAKE, MI
ZIP 49456-702
Phone: (616) 296-2130
Fax: (616) 296-2148

The provider's authorized official is Kristine E Koetje-balder .
The authorized official title is Director and has the following contact phone number (231) 799-8182.

The enumeration date for this NPI number is 7/10/2012 and was last updated on 6/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalNo
2104100000XSocial WorkerNo
3225X00000XOccupational TherapistNo
4363L00000XNurse PractitionerNo
5101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI