NPIMap

Organization Active NPI

Solace Counseling Services

  • Clinical Social Worker
  • Allendale, MI
National Provider Identifier
1205187093
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085401 Issued in MI
Legal business name
SOLACE COUNSELING SERVICES
Practice address
11304 Edgewater Dr
Suite D
Allendale, MI 49401-8499
Phone
(616) 892-1070
Fax
(616) 892-1073
NPI assigned
Sep 20, 2012
Last updated
Sep 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Gina M Merritt, LMSW ACSWNPI 1275751323
Title
Clinical Social Worker
Phone
(616) 892-1070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801085401 MI Primary

Addresses

Primary practice location

11304 Edgewater Dr
Suite D
Allendale, MI 49401-8499

Mailing address

10717 Little Bass CT
Allendale, MI 49401-7605
Phone (616) 892-1070

National Provider Directory

National Provider Directory

Locations

11304 Edgewater Dr
Ste D
Allendale, MI 49401
Phone (616) 892-1070

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1205187093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10717 LITTLE BASS CT",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494017605",
            "telephone_number": "616-892-1070",
            "fax_number": "616-892-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11304 EDGEWATER DR",
            "address_2": "SUITE D",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018499",
            "telephone_number": "616-892-1070",
            "fax_number": "616-892-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "616-892-1070",
        "authorized_official_credential": "LMSW ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.