Active NPI
Balke Counseling and Consulting LLC
- Mental Health Counselor
- Grand Rapids, MI
National Provider Identifier
1114603008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BALKE COUNSELING AND CONSULTING LLC
- Practice address
- 625 Kenmoor Ave SE Ste 350 PMB 979359
Grand Rapids, MI 49546 - Phone
- (616) 209-4054
- NPI assigned
- Jun 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Benjamin James Balke, LPC
- Title
- Owner and Counselor
- Phone
- (616) 209-4054
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
625 Kenmoor Ave SE Ste 350 PMB 979359
Grand Rapids, MI 49546
Mailing address
625 Kenmoor Ave SE Ste 350 PMB 979359
Grand Rapids, MI 49546
Phone (616) 209-4054
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Grand Rapids, MI
- NPI 1730737669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687737600000",
"number": "1114603008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 KENMOOR AVE SE STE 350 PMB 979359",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49546",
"telephone_number": "616-209-4054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 KENMOOR AVE SE STE 350 PMB 979359",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49546",
"telephone_number": "616-209-4054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALKE COUNSELING AND CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A",
"authorized_official_last_name": "BALKE",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER AND COUNSELOR",
"authorized_official_telephone_number": "616-209-4054",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"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 Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.