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Martha Jane Balk, LPC

Individual provider Active NPI Professional Counselor · Grand Haven, MI

NPI 1154582922 · NPPES record last updated Jun 24, 2008

Key facts

NPI
1154582922
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
6401006488 (MI)
Practice address
321 S Beechtree St
Grand Haven, MI 49417-2003
Phone
(616) 846-5880
Fax
(616) 846-6052
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6401006488MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways, Mi Past Accepting new patients
Life Guidance Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401006488 MI Yes

Addresses

Primary practice location

321 S Beechtree St
Grand Haven, MI 49417-2003

Mailing address

321 S Beechtree St
Grand Haven, MI 49417-2003
Phone (616) 846-5880

Other names

  • Ms. Martha Jane Baldwin Former name

Other providers in Grand Haven, MI

All providers in Grand Haven, MI · Professional Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.