Organization Active NPI

The Ledges Counseling LLC

  • Clinical Social Worker
  • Grand Ledge, MI
National Provider Identifier
1053897041
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092806 Issued in MI
Legal business name
THE LEDGES COUNSELING LLC
Practice address
214 S Bridge St Ste C
Grand Ledge, MI 48837
Phone
(517) 231-7394
NPI assigned
Jul 13, 2018
Last updated
Aug 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Authorized official

Name
Mary Beth Houpt
Title
Credentialing
Phone
(517) 676-9788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801092806 MI Primary

Addresses

Primary practice location

214 S Bridge St Ste C
Grand Ledge, MI 48837

Mailing address

404 Green St
Grand Ledge, MI 48837-1316
Phone (517) 375-6763

Other identifiers 1

IdentifierTypeStateIssuer
1467903963MedicaidMI

National Provider Directory

National Provider Directory

Locations

214 S Bridge St
Ste C
Grand Ledge, MI 48837
Phone (517) 231-7394

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1053897041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 GREEN ST",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371316",
            "telephone_number": "517-375-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S BRIDGE ST STE C",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "48837",
            "telephone_number": "517-231-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LEDGES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9788"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467903963",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Ledge, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.