National Center for Donor Conception

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NATIONAL CENTER FOR DONOR CONCEPTION

Practice address

2180 44TH St SE
Suite 108
Kentwood, MI 49508-5323

Phone

(616) 455-1499

Fax

(616) 455-1499

NPI assigned

Sep 21, 2012

Organization subpart

No

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

Authorized official

Name

Debra Ann Peters, LMSW, LPCNPI 1245581925

Title

Ceo

Phone

(616) 455-1499

Specialties & licenses 1

Addresses

Other names 1

• National Fertility Support Center Doing business as

Locations

Practitioners 2

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

• Debra Ann Peters, LMSW, LPC

  • Clinical Social Worker
  • Kentwood, MI
  • NPI 1245581925
  NPD (past) Authorized official
• Debra Ann Burke, M.A., L.L.P.

  • Counseling Psychologist
  • Kentwood, MI
  • NPI 1043561731
  NPD (past)

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1104177872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 44TH ST SE",
            "address_2": "SUITE 108",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085323",
            "telephone_number": "616-455-1499",
            "fax_number": "616-455-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 44TH ST SE",
            "address_2": "SUITE 108",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085323",
            "telephone_number": "616-455-1499",
            "fax_number": "616-455-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL CENTER FOR DONOR CONCEPTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-455-1499",
        "authorized_official_credential": "LMSW, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Fertility Support Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Myers
• Myeyedr Optometry of Michigan, LLC
• Amanda Marie Mykrantz
• Mayu Kuramochi Nash
• Stephen John Nass, PHARMD
• Natural Choice Chiropractic LLC
• Grace Ndjouhou Ndjo
• Sydney Elise Nelson
• New Outlook
• Mackenzie R Newman, LMSW

• Community/Behavioral Health Agency in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.