Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Functional Kids Therapy Center LLC

Organization Counselor · NPI 1578951380

Functional Kids Therapy Center LLC is a Counselor in Springfield, Michigan. Works from 3 locations. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

777 Goguac St W Ste B2
Springfield, MI 49015-2097
Phone: (269) 832-8224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9809 Cherry Valley Ave Se Ste D, Caledonia, MI 49316-9592 — (616) 536-2211
  • 403 N Grand St Ste A, Schoolcraft, MI 49087-8466 — (269) 679-7372

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X
Counselor Taxonomy 101Y00000X
Social Worker Taxonomy 104100000X
Chiropractor Taxonomy 111N00000X
Pediatric Physical Therapist Taxonomy 2251P0200X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1578951380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cortney Carlisle — Occupational Therapist · (218) 929-9595
Other names Functional Kids
NPI enumeratedDecember 31, 2014
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025
Mailing address777 Goguac St W Ste B2, Springfield, MI 49015-2097