Ronon's Place

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RONON'S PLACE

Practice address

8119 W M 68 Hwy
Indian River, MI 49749-9014

Phone

(231) 463-1560

NPI assigned

Jan 5, 2023

Last updated

Jan 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Becky L Fettig

Title

Executive Director

Phone

(231) 463-1560

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1023721909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497490141",
            "telephone_number": "231-463-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8119 W M 68 HWY",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497499014",
            "telephone_number": "231-463-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONON'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "FETTIG",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "231-463-1560"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Wilson LPC LLC
• Megan Peltz
• Beth Marie Powers, NP
• Alexi Raville, CTRS, CADC-DP, QMHP
• Robert C Kenny DC PC
• Margaret Lynn Rorick, FNP-C
• Shannon Kathleen Rossio, MD
• Kristin Rousseau, PT
• Saginaw Vamc
• Julie Lynn Samu Shouldice, OD

• Mental Health Counselor in Indian River, MI
• Providers in Indian River, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.