Organization Active NPI

Holland Family Counseling LLC

  • Adult Mental Health Clinic/Center
  • Holland, MI
National Provider Identifier
1043673668
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HOLLAND FAMILY COUNSELING LLC
Practice address
490 Century LN
Holland, MI 49423-2220
Phone
(616) 594-0810
Fax
(616) 794-8600
NPI assigned
Mar 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Anthony BordenkircherNPI 1972888535
Title
Owner
Phone
(616) 594-0810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

490 Century LN
Holland, MI 49423-2220

Mailing address

490 Century LN
Holland, MI 49423-2220
Phone (616) 594-0810

Other practice location 1

440 S State St Ste 230
Zeeland, MI 49464-2060
Phone (616) 594-0810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190723001319 MI Part B Supplier - Clinic/Group Practice 6406182872 Receives reassigned benefits from 5 practitioners
Practice locations: Holland, MI; Zeeland, MI

National Provider Directory

National Provider Directory

Locations

490 Century Ln
Holland, MI 49423
Phone (616) 594-0810

490 Century Ln
Ste 200
Holland, MI 49423
Phone (616) 594-0810

440 S State St
Ste 230
Zeeland, MI 49464
Phone (616) 594-0810

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1043673668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 CENTURY LN",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232220",
            "telephone_number": "616-594-0810",
            "fax_number": "616-794-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 CENTURY LN",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232220",
            "telephone_number": "616-594-0810",
            "fax_number": "616-794-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 S State St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Zeeland",
            "state": "MI",
            "postal_code": "494642060",
            "country_code": "US",
            "telephone_number": "616-594-0810",
            "fax_number": "616-794-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLLAND FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "BORDENKIRCHER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-594-0810"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "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 Jan 21, 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.