Individual provider Active NPI

Brianne Ilyse Roux, LPC

  • Professional Counselor
  • Holland, MI
National Provider Identifier
1003486150
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401224345 Issued in MI
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

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6401224345MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Through Water Counseling LLC Professional CurrentSince Nov 7, 2025 Accepting new patients
Bethany Christian Services Inc. PastSince Jul 1, 2021 Accepting new patients
Bethany Christian Services, Inc PastSince Jul 1, 2021 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.

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.

Verify at the official NPI Registry.