Midtown Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6401010773 Issued in MI

Legal business name

MIDTOWN COUNSELING SERVICES

Practice address

96 W 15TH St Ste 208-9
Holland, MI 49423-3370

Phone

(616) 990-4441

NPI assigned

Jan 23, 2009

Organization subpart

No

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

Authorized official

Name

Susan Renee Vanwyngarden, M.A, L.P.CNPI 1518387851

Title

Executive Director

Phone

(616) 990-4441

Specialties & licenses 1

Addresses

Practitioners 1

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

• Susan Renee Vanwyngarden, M.A., L.P.C.

  • Professional Counselor
  • Holland, MI
  • NPI 1518387851
  NPD (past) Authorized official

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1114165438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 W 15TH ST STE 208-9",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233370",
            "telephone_number": "616-990-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 W 15TH ST STE 208-9",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233370",
            "telephone_number": "616-990-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "VANWYNGARDEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-990-4441",
        "authorized_official_credential": "M.A, L.P.C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401010773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jill Ann Michno
• Jessica Jo Middleton, L.AC., DIPL OM
• Abbie Miedema, MS, LAT, ATC
• Jill Miedema, MD
• Stephanie A Miiller
• Margaret Anne Miko
• Hannah Faupel Mikolaizyk, OD

• Community/Behavioral Health Agency in Holland, MI
• Providers in Holland, 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 Apr 25, 2014; 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.