Counseling Associates of West Michigan LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801058815 Issued in MI

Legal business name

COUNSELING ASSOCIATES OF WEST MICHIGAN LLC

Practice address

4127 Embassy Dr SE
Grand Rapids, MI 49546-2418

Phone

(616) 264-3200

Fax

(616) 264-3201

NPI assigned

May 24, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Mary B Lier, LMSW

Title

Owner

Phone

(616) 780-7999

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Jeanine Dennis, PH.D.

  • Psychologist
  • Grand Rapids, MI
  • NPI 1366486755
  NPD (past)

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1033438536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 EMBASSY DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462418",
            "telephone_number": "616-264-3200",
            "fax_number": "616-264-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4127 EMBASSY DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462418",
            "telephone_number": "616-264-3200",
            "fax_number": "616-264-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING ASSOCIATES OF WEST MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "LIER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-780-7999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801058815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebone Nicole Cotton
• Eliana Couch
• Wanda L Couch, LPC
• Jaimie Lynn Coucke, PA
• Jaimie Lee Coulombe, PT, DPT
• Counseling Associates of West Michigan LLC
• Counseling Center for Restoration Transformation and Play LLC
• Counseling Center of West Michigan, LLC
• Counterstrain Physical Therapy PLLC
• County of Kent

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.