Amanda May Szubelak, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401019078 Issued in MI

Practice address

393 Garden Avenue
Holland, MI 49424

Phone

(616) 834-1264

NPI assigned

Aug 11, 2015

Last updated

Mar 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mavis May Meyer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1144606344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 MEYER DR",
            "city": "HAMILTON",
            "state": "MI",
            "postal_code": "494199205",
            "telephone_number": "616-834-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 GARDEN AVENUE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49424",
            "telephone_number": "616-834-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZUBELAK",
        "first_name": "AMANDA",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019078",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301016402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAVIS",
            "last_name": "MEYER",
            "middle_name": "MAY",
            "credential": "LLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren Lee Swartz, PA-C
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• Russell Sweet, D.C.
• Emalee Jo Swena, RDN
• Barbara A Sychowski, RN
• Tacoma Recovery Counseling
• Sarah Ann Talbott
• Nicolas Talsma, DO
• Lucien Tamer, M.D.
• Domenique Tamminga, FNP-C

• Professional Counselor in Holland, MI
• Providers in Holland, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.