Raymond Herzog Ma LLP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301011394 Issued in MI

Legal business name

RAYMOND HERZOG MA LLP

Practice address

4829 E Beltline Ave NE Ste 100
Grand Rapids, MI 49525-9349

Phone

(616) 364-3301

NPI assigned

May 11, 2018

Organization subpart

No

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

Authorized official

Name

Raymond Herzog, LLP

Title

Owner Operator

Phone

(616) 901-2784

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1194215558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259349",
            "telephone_number": "616-364-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259349",
            "telephone_number": "616-364-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2874 Port Sheldon St Ste E",
            "address_purpose": "LOCATION",
            "city": "Hudsonville",
            "state": "MI",
            "postal_code": "494267898",
            "country_code": "US",
            "telephone_number": "616-364-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAYMOND HERZOG MA LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "616-901-2784",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301011394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Rayas
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• Raye Counseling LLC
• Jennifer Raye, MA, LPC
• Jordan Marie Rayl, BT
• Taylor E. Raymond
• Stephanie-Grace Abinoja Raymundo, M.D.
• Nader Elias Rayyan, MD
• Ibrahim Raza, MD
• Muhammad Sheraz Raza, MD

• Counseling Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.