Individual provider · Type 1 NPI

William Blake Kooi, MA, LPC, QIDP

Professional Counselor · Grand Rapids, MI

NPI number 1588901029 Active

Practice location

534 Fountain St NE
Grand Rapids, MI 49503-3422

Fax (616) 456-1324

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500X6401014874 (MI)

Professional Counselor: Definition to come...

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About NPI 1588901029

William Blake Kooi, MA, LPC, QIDP's National Provider Identifier is 1588901029, issued on Jan 3, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 13, 2026.