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PATIENT KATABANA BARAKA LLMSW
NPI 1366889313
Counselor - Mental Health in Wyoming, MI

Active since May 31, 2013
255 COLRAIN ST SW, WYOMING, MI 49548(616) 988-1479(616) 245-0450 Get Directions Write a Review

NPPES record last updated: May 31, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Patient Katabana Baraka Llmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATIENT KATABANA BARAKA LLMSW (NPI 1366889313) is an individual mental health provider in Wyoming, Michigan, licensed in Michigan (6801093577) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1366889313
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NamePATIENT KATABANA BARAKACredential: LLMSW
Location Address255 COLRAIN ST SWWyoming, MI 49548-1013
Mailing Address79 Antoine St SwGrand Rapids, MI 49507-1001 · (616) 988-1479 · Fax (616) 245-0450
Phone(616) 988-1479
Fax(616) 245-0450
Sole ProprietorNo
Enumeration DateMay 31, 2013
✔ NPI 1366889313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MI · 6801093577
255 COLRAIN ST SW, Wyoming, MI 49548
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY OUTREACH CENTER
Social Worker (Clinical)
255 COLRAIN ST SW
GRAND RAPIDS, MI 49548
Kent County (616) 988-1479
MS. KRISTEN NICOLE VET MSW
Social Worker (Clinical)
255 COLRAIN ST SW, SUITE 2
WYOMING, MI 49548
Kent County (616) 284-4158
DR. ANDREA LAUREN SMITH PHD
Social Worker
255 COLRAIN ST SW
GRAND RAPIDS, MI 49548
Kent County (616) 988-1479
MICHELLE PETERSON
Social Worker (Clinical)
255 COLRAIN ST SW
GRAND RAPIDS, MI 49548
Kent County (616) 988-1479

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patient Baraka's NPI number?

The NPI number for Patient Baraka is 1366889313. It was assigned to this individual provider in the NPPES registry on May 31, 2013.

Where is Patient Baraka located?

Patient Baraka practices at 255 Colrain St SW, Wyoming, MI 49548. The listed phone number is (616) 988-1479.

What is Patient Baraka's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Patient Baraka accept?

Health plans from McLaren Health Plan Community list Patient Baraka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Patient Baraka was last updated on May 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.