Individual provider Active NPI

Erin Jeltema, M.A, C.A.D.C

  • Addiction (Substance Use Disorder) Counselor
  • Ionia, MI
National Provider Identifier
1053796185
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6301015636 Issued in MI
Practice address
215 W Main St
Ionia, MI 48846-1638
Phone
(616) 522-0687
NPI assigned
Jul 30, 2015
Last updated
Jul 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6301015636 MI Primary

Addresses

Primary practice location

215 W Main St
Ionia, MI 48846-1638

Mailing address

215 W Main St
Ionia, MI 48846-1638
Phone (616) 522-0687

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301015636MIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Perspectives Therapy Services LLC Current Accepting new patients
Comprehensive Recovery Service, Inc. Past Accepting new patients
Comprehensive Recovery Services, Inc. Psychologist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1053796185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W MAIN ST",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461638",
            "telephone_number": "616-522-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W MAIN ST",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461638",
            "telephone_number": "616-522-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELTEMA",
        "first_name": "ERIN",
        "credential": "M.A, C.A.D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6301015636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ionia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.