Marilyn Booker, MA, LSC, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

640101436 Issued in MI

Practice address

4920 Plainfield Ave NE Ste 5
Grand Rapids, MI 49525-1010

Phone

(616) 460-6448

NPI assigned

Sep 10, 2015

Last updated

Sep 10, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1194193953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 PLAINFIELD AVE NE STE 5",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251010",
            "telephone_number": "616-460-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 PLAINFIELD AVE NE STE 5",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251010",
            "telephone_number": "616-460-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "MARILYN",
        "credential": "MA, LSC, LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "640101436",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MI",
            "license": "SC0000000793839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle N Boog, MS, OTR/L
• Jadyn Boogaard
• Beth Ann Boogholt, M.S., BCBA, LLP, LBA
• Booker Behavior Therapy LLC
• Edward A Booker Jr.
• Lisa Marie Boomers, LLPC
• Sarah Elena Boomgaard-Hughes
• Andrea Boomgaard, LLMSW
• Donald Boomgaard
• Janna Marie Boomstra, M.A., CCC-SLP

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.