MR. WILLIAM BLAKE KOOI MA, LPC, QIDP
NPI 1588901029
Counselor - Professional in Grand Rapids, MI

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since January 03, 2013

534 FOUNTAIN ST NE, GRAND RAPIDS, MI 49503(616) 710-1504(616) 456-1324 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 1, 2017, Sep 12, 2016 (3 updates tracked since 2016).

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About Mr. William Blake Kooi Ma, Lpc, Qidp NPPES

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

MR. WILLIAM BLAKE KOOI MA, LPC, QIDP (NPI 1588901029) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401014874) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1588901029

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. WILLIAM BLAKE KOOICredential: MA, LPC, QIDP

Location Address534 FOUNTAIN ST NEGrand Rapids, MI 49503-3422

Mailing Address534 Fountain St NeGrand Rapids, MI 49503-3632 · (616) 710-1504

Phone(616) 710-1504

Fax(616) 456-1324

Sole ProprietorYes

Enumeration DateJanuary 3, 2013

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1588901029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MI · 6401014874

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

534 FOUNTAIN ST NE, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›