Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. William Blake Kooi, MA, LPC, QIDP

Individual provider Case Manager/Care Coordinator · NPI 1588901029

Mr. William Blake Kooi, MA, LPC, QIDP is a Case Manager/Care Coordinator in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2013
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

534 Fountain St NE
Grand Rapids, MI 49503-3422
Phone: (616) 710-1504
Fax: (616) 456-1324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401014874 (MI)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1588901029
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPC , QIDP
Sole proprietorYes
NPI enumeratedJanuary 3, 2013
Last updated in NPPESJuly 21, 2022

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