Individual provider Active NPI

Barbara Ann Mayward, LPC, CCS, CAADC

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1184998171
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401010152 Issued in MI
Practice address
1956 Boston St SE
Grand Rapids, MI 49506
Phone
(616) 776-0891
Fax
(616) 243-9854
NPI assigned
Mar 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401010152 MI Primary

Addresses

Primary practice location

1956 Boston St SE
Grand Rapids, MI 49506

Mailing address

1956 Boston St SE
Grand Rapids, MI 49506-4169
Phone (616) 776-0891

Other identifiers 3

IdentifierTypeStateIssuer
6401010152OtherMIMICHIGAN LICENSE LPC
S20108OtherMIMICHIGAN CERTIFICATION BOARD FOR ADDICTION PROFESSIONALS CCS
C00736OtherMIMICHIGAN CERTIFICATION BOARD FOR ADDICTION PROFESSIONALS CAADC

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401010152MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1184998171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1956 BOSTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064169",
            "telephone_number": "616-776-0891",
            "fax_number": "616-243-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1956 BOSTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49506",
            "telephone_number": "616-776-0891",
            "fax_number": "616-243-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYWARD",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "LPC, CCS, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401010152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LICENSE LPC",
            "identifier": "6401010152",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN CERTIFICATION BOARD FOR ADDICTION PROFESSIONALS  CCS",
            "identifier": "S20108",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN CERTIFICATION BOARD FOR ADDICTION PROFESSIONALS  CAADC",
            "identifier": "C00736",
            "state": "MI"
        }
    ],
    "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 Mar 8, 2012; 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.