Active NPI
Robert Alan Herman
- Professional Counselor
- Zeeland, MI
National Provider Identifier
1093221426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 640101989
- Practice address
- 300 S State St Ste 10
Zeeland, MI 49464-1678 - Phone
- (616) 879-0072
- NPI assigned
- Dec 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 640101989 | MI | Primary |
Addresses
Primary practice location
300 S State St Ste 10
Zeeland, MI 49464-1678
Mailing address
300 S State St Ste 10
Zeeland, MI 49464-1678
Phone (616) 879-0072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 640101989 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513814400000",
"number": "1093221426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S STATE ST STE 10",
"city": "ZEELAND",
"state": "MI",
"postal_code": "494641678",
"telephone_number": "616-879-0072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S STATE ST STE 10",
"city": "ZEELAND",
"state": "MI",
"postal_code": "494641678",
"telephone_number": "616-879-0072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "ROBERT",
"middle_name": "ALAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-21",
"last_updated": "2017-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "640101989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zeeland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.