Organization Active NPI

New River Counseling, PLLC

  • Professional Counselor
  • Wyoming, MI
National Provider Identifier
1063979144
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NEW RIVER COUNSELING, PLLC
Practice address
2663 44TH St SW Ste 106
Wyoming, MI 49519-4189
Phone
(269) 359-3269
NPI assigned
Feb 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
Stephen Anthony Silliman, LPC
Title
Director/Therapist
Phone
(269) 359-3269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2663 44TH St SW Ste 106
Wyoming, MI 49519-4189

Mailing address

167 N Drake Rd # 19788
Kalamazoo, MI 49009-9998
Phone (269) 359-3269

Other identifiers 1

IdentifierTypeStateIssuer
2341719MedicaidOH

National Provider Directory

National Provider Directory

Locations

2663 44th St SW
Ste 106
Wyoming, MI 49519
Phone (616) 258-2066

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1063979144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 N DRAKE RD # 19788",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099998",
            "telephone_number": "269-359-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2663 44TH ST SW STE 106",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194189",
            "telephone_number": "269-359-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "SILLIMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "269-359-3269",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2341719",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.