Organization Active NPI

Northern Counseling Services PC

  • Community/Behavioral Health Agency
  • Cedar Springs, MI
National Provider Identifier
1053591289
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801035649 Issued in MI
Legal business name
NORTHERN COUNSELING SERVICES PC
Practice address
261 N Main
Cedar Springs, MI 49319-8041
Phone
(616) 696-4034
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
Rebecca Vansetters, CSW ACSWNPI 1053490995
Title
CSW/Owner
Phone
(616) 696-4034

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
Community/Behavioral Health Agency 251S00000X 6801035649 MI Primary

Addresses

Primary practice location

261 N Main
Cedar Springs, MI 49319-8041

Mailing address

PO Box 329
Cedar Springs, MI 49319-0329
Phone (616) 696-4034

Other identifiers 2

IdentifierTypeStateIssuer
8008971700OtherMIBCBS
2820641MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060117000173 MI Part B Supplier - Clinic/Group Practice 9537183637 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Springs, MI; Rockford, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1053591289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493190329",
            "telephone_number": "616-696-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 N MAIN",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198041",
            "telephone_number": "616-696-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN COUNSELING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "VANSETTERS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CSW/OWNER",
        "authorized_official_telephone_number": "616-696-4034",
        "authorized_official_credential": "CSW ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801035649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8008971700",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2820641",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.