Madd Healing and Life Coaching

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MADD HEALING AND LIFE COACHING

Doing business as

MADD Healing and Life Coaching

Practice address

401 Hall St SW Ste 112J
Grand Rapids, MI 49503-6501

Phone

(616) 719-7164

NPI assigned

Apr 23, 2021

Organization subpart

No

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

Authorized official

Name

Keisha McDonald-GriffinNPI 1770029381

Title

Owner

Phone

(616) 719-7164

Specialties & licenses 1

Addresses

Other names 1

• MADD Healing and Life Coaching Doing business as

Locations

Practitioners 1

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

• Keisha McDonald-Griffin, LPC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1770029381
  NPD Authorized official

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1134701774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HALL ST SW STE 112J",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495036501",
            "telephone_number": "616-719-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HALL ST SW STE 112J",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495036501",
            "telephone_number": "616-719-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADD HEALING AND LIFE COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "MCDONALD-GRIFFIN",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-719-7164"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MADD Healing and Life Coaching",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Logan Macphail, RD
• Kari Gail Macqueen
• David Robert Macrae, PH.D.
• Ravichand Madala, M.D.
• Soumya Chowdary Madala, M.D.
• Frances Shawn Madden, MD
• Karmind Ormanna Maddox
• Giana Grace Maddux
• Liam Madell
• Sarosh Irfan Madhani, MBBS

• Mental Health Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.