Healing Minds Counseling Services

Key facts

NPI: 1083389308
Entity type: Organization (NPI type 2)
Primary specialty: Professional Counselor 101YP2500X
Legal business name: HEALING MINDS COUNSELING SERVICES
Practice address: 5180 Kalamazoo Ave SE Ste 2
Kentwood, MI 49508-4817
Phone: (616) 264-8146
NPI assigned: Aug 9, 2021
Organization subpart: No

Authorized official

Name: Damika Houston, LPC NPI 1235619214
Title: Clinical Mental Health Therapist
Phone: (616) 264-8146

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Damika Marie Houston, LPC Professional Counselor · Grand Rapids, MI · NPI 1235619214

NPD Authorized official PROFESSIONAL

National Provider Directory

Locations

5180 Kalamazoo Ave SE
Ste 2
Kentwood, MI 49508
Phone (616) 264-8146

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor Group: 193400000X SINGLE SPECIALTY GROUP	101YP2500X			Yes

Addresses

Primary practice location

5180 Kalamazoo Ave SE Ste 2
Kentwood, MI 49508-4817

Mailing address

5180 Kalamazoo Ave SE Ste 2
Kentwood, MI 49508-4817

Other identifiers

Identifier	Type	State	Issuer
14337283	Medicaid	MI

Electronic endpoints

Type	Endpoint	Use	Affiliation
Other URL	healingmindsgr@gmail.com	Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 9, 2021.

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1083389308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 KALAMAZOO AVE SE STE 2",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495084817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 KALAMAZOO AVE SE STE 2",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495084817",
            "telephone_number": "616-264-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MINDS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-07",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "DAMIKA",
        "authorized_official_title_or_position": "CLINICAL MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "616-264-8146",
        "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": "14337283",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "healingmindsgr@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5180 Kalamazoo Ave SE Ste 2",
            "city": "Kentwood",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495084817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kentwood, MI

All providers in Kentwood, MI · Professional Counselor in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.