Active NPI
Brianne Ilyse Roux, LPC
- Professional Counselor
- Holland, MI
National Provider Identifier
1003486150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401224345
- Practice address
- 12930 James St Ste 140
Holland, MI 49424-8324 - Phone
- (616) 422-7775
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401224345 | MI | Primary |
Addresses
Primary practice location
12930 James St Ste 140
Holland, MI 49424-8324
Mailing address
3444 Elk Dr
Zeeland, MI 49464-6831
Phone (616) 610-1697
Other practice location 1
11335 James St
Holland, MI 49424-8627
Phone (616) 396-0623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401224345 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Through Water Counseling LLC | Professional | Current | Accepting new patients |
| Bethany Christian Services Inc. | Past | Accepting new patients | |
| Bethany Christian Services, Inc | Past | Accepting new patients |
Locations
12930 James St
Ste 140
Holland, MI 49424
Phone (616) 399-8650
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Holland, MI
- NPI 1396612602
-
- Community/Behavioral Health Agency
- Grand Rapids, MI
- NPI 1528104643
-
- Community/Behavioral Health Agency
- Holland, MI
- NPI 1629134341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1003486150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3444 ELK DR",
"city": "ZEELAND",
"state": "MI",
"postal_code": "494646831",
"telephone_number": "616-610-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12930 JAMES ST STE 140",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494248324",
"telephone_number": "616-422-7775"
}
],
"practiceLocations": [
{
"address_1": "11335 James St",
"address_purpose": "LOCATION",
"city": "Holland",
"state": "MI",
"postal_code": "494248627",
"country_code": "US",
"telephone_number": "616-396-0623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROUX",
"first_name": "BRIANNE",
"middle_name": "ILYSE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401224345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.