Individual provider Active NPI

Melissa Arianna Richmond

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1043945546
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451022337 Issued in MI
Practice address
1750 Grand Ridge CT NE Ste 200
Grand Rapids, MI 49525-7043
Phone
(616) 426-9034
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6451022337 MI Primary

Addresses

Primary practice location

1750 Grand Ridge CT NE Ste 200
Grand Rapids, MI 49525-7043

Mailing address

1715 N 5TH St
Niles, MI 49120-1290
Phone (630) 439-4407

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
6451022337MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Second Story Counseling II LLC CurrentSince Jun 15, 2025 Accepting new patients

Locations

1750 Grand Ridge Ct NE
Ste 200
Grand Rapids, MI 49525
Phone (616) 426-9034

Organizations & group practices 1

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1043945546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 N 5TH ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491201290",
            "telephone_number": "630-439-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 GRAND RIDGE CT NE STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257043",
            "telephone_number": "616-426-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "MELISSA",
        "middle_name": "ARIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451022337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.