KOINONIA PROFESSIONAL COUNSELING SERVICES LLC
NPI 1780079210
Counselor - Professional in Grand Rapids, MI

Q: What is Koinonia Professional Counseling Services LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since April 01, 2015

233 FULTON ST E STE 209E, GRAND RAPIDS, MI 49503(616) 279-9978(616) 724-4331 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2026, Aug 16, 2024 (2 updates tracked since 2024).

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About Koinonia Professional Counseling Services Llc NPPES

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

KOINONIA PROFESSIONAL COUNSELING SERVICES LLC (NPI 1780079210) is a healthcare organization registered as a professional in Grand Rapids, Michigan and active in the NPI registry since April 2015. The organization lists Isaac Gordon Watts, Owner, as its authorized official.

NPPES Registry Identity

NPI1780079210

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameKOINONIA PROFESSIONAL COUNSELING SERVICES LLC

Location Address233 FULTON ST E STE 209EGrand Rapids, MI 49503-3200

Mailing Address233 Fulton St E Ste 209eGrand Rapids, MI 49503-3200 · (616) 279-9978 · Fax (616) 724-4331

Phone(616) 279-9978

Fax(616) 724-4331

Organization SubpartNo

Authorized OfficialIsaac Gordon WattsOwner · (616) 818-6637

Enumeration DateApril 1, 2015

Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2026

✔ NPI 1780079210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MI · 6401009315

233 FULTON ST E STE 209E, Grand Rapids, MI 49503

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.Insurance ›

Other Providers at the Same Location NPPES

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

MR. ISAAC GORDON WATTS M.A., L.P.C.

Counselor (Professional)

233 FULTON ST E STE 209E
GRAND RAPIDS, MI 49503

Kent County (616) 279-9978

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 Koinonia Professional Counseling Services LLC's NPI number?

The NPI number for Koinonia Professional Counseling Services LLC is 1780079210. It was assigned to this organization in the NPPES registry on April 1, 2015.

Where is Koinonia Professional Counseling Services LLC located?

Koinonia Professional Counseling Services LLC is located at 233 Fulton St E Ste 209E, Grand Rapids, MI 49503. The listed phone number is (616) 279-9978.

What is Koinonia Professional Counseling Services LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Koinonia Professional Counseling Services LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Koinonia Professional Counseling Services LLC 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 Koinonia Professional Counseling Services LLC was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.