Organization Active NPI

Speak Easy Mental Wellness

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1093219891
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SPEAK EASY MENTAL WELLNESS
Practice address
1430 Robinson Rd SE Ste 206
Grand Rapids, MI 49506-1723
Phone
(231) 499-1063
NPI assigned
Mar 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Laura Meeker Wicksall, LMSW
Title
Therapist
Phone
(231) 499-1063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1430 Robinson Rd SE Ste 206
Grand Rapids, MI 49506-1723

Mailing address

1430 Robinson Rd SE Ste 206
Grand Rapids, MI 49506-1723
Phone (231) 499-1063

National Provider Directory

National Provider Directory

Locations

4829 E Beltline Ave NE
Ste 101
Grand Rapids, MI 49525
Phone (616) 209-8215

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1093219891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 ROBINSON RD SE STE 206",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061723",
            "telephone_number": "231-499-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 ROBINSON RD SE STE 206",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061723",
            "telephone_number": "231-499-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAK EASY MENTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "MEEKER WICKSALL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "231-499-1063",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.