Grace Haven Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801090152 Issued in MI

Legal business name

GRACE HAVEN COUNSELING, LLC

Practice address

4565 Wilson Ave SW
Ste. 4a
Grandville, MI 49418-2371

Phone

(616) 745-2387

Fax

(616) 432-3059

NPI assigned

Jun 16, 2015

Last updated

Jun 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lori Lee Vanharmelen, LMSWNPI 1184001299

Title

Clinical Social Worker

Phone

(616) 780-0402

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lori Lee Vanharmelen, LMSW

  • Clinical Social Worker
  • Grandville, MI
  • NPI 1184001299
  Medicare reassignment Authorized official
• Dewanda L Gichemi, DSW, LMSW, IPTA, EFT

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1598983587
  NPD
• Lisbet Brito, LPC

  • Mental Health Counselor
  • Grandville, MI
  • NPI 1114463593
  NPD (past)
• Todd Monroe, MSW

  • Clinical Social Worker
  • Grandville, MI
  • NPI 1992073266
  NPD (past)
• Cynthia Helen Pollet, LPC

  • Professional Counselor
  • Holland, MI
  • NPI 1699294835
  NPD (past)
• David E Thornsen, PSYD

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1356303556
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1063893907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 WILSON AVE SW",
            "address_2": "STE. 4A",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182371",
            "telephone_number": "616-745-2387",
            "fax_number": "616-432-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 WILSON AVE SW",
            "address_2": "STE. 4A",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182371",
            "telephone_number": "616-745-2387",
            "fax_number": "616-432-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HAVEN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "VANHARMELEN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "616-780-0402",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Gill
• Rachael Renee Gillette
• Vivian Bernell Glowinski
• Steven Robert Goeddeke, DC
• Goodwill Industries of Greater Grand Rapids
• Gragevi Afc Home
• Grand Primary Care PC
• Grand Rapids Integrative Therapy LLC
• Grand River Endodontics PC
• Grand River Periodontics, PLLC

• Clinical Social Worker in Grandville, MI
• Providers in Grandville, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.