Michigan Wellness Services LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MICHIGAN WELLNESS SERVICES LLC

Practice address

1401 60TH St SE Ste B
Kentwood, MI 49508-7065

Phone

(616) 238-6690

NPI assigned

Jun 6, 2024

Organization subpart

No

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

Authorized official

Name

Laurel Rae Backing, LPCNPI 1093464026

Title

Counselor

Phone

(616) 238-6690

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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

• Laurel Rae Backing, LLPC

  • Counselor
  • Holland, MI
  • NPI 1093464026
  Medicare reassignment Care Compare group NPD Authorized official
• Cassandra Lyn Fairbotham, LMSW

  • Clinical Social Worker
  • Holland, MI
  • NPI 1598447732
  Medicare reassignment Care Compare group NPD
• Caitlyn Marie Nyhuis, LMSW

  • Clinical Social Worker
  • Holland, MI
  • NPI 1104507557
  Medicare reassignment Care Compare group NPD
• Bonnie Harris-Moore

  • Clinical Social Worker
  • Holland, MI
  • NPI 1306591433
  Medicare reassignment NPD

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748649600000",
    "number": "1043051667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 60TH ST SE STE B",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495087065",
            "telephone_number": "616-238-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 60TH ST SE STE B",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495087065",
            "telephone_number": "616-238-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A",
        "authorized_official_last_name": "BACKING",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "616-238-6690",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Mewbourn
• Michelle Meyer Essenberg
• Elizabeth Meyer
• Jeremy Meyers
• Christopher J Michaud, PHARMD, BCCCP, BCPS
• Nicole Lynn Mick, LMSW
• Sarah Micklatcher, LMSW
• Joshua M Miles, LMT
• Christopher Andrew Miller, D.C.
• Lauren Miller

• Counselor in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.