Susan Missad Counseling

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

SUSAN MISSAD COUNSELING

Practice address

4829 E Beltline Ave NE
Grand Rapids, MI 49525-9747

Phone

(616) 291-6595

NPI assigned

Mar 22, 2019

Organization subpart

No

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

Authorized official

Name

Susan Missad

Title

Owner

Phone

(616) 291-6595

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1205396538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259747",
            "telephone_number": "616-291-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MISSAD COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "MISSAD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-291-6595"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kory Surbrook
• Payton Surges
• Britni Surre
• Susan Jongekryg LMSW LLC
• Susan L. King (Lamplight Counseling, PLLC)
• Nicole Susser, DO
• Carolyn G Sutherby, LMSW
• Liliya Shevchenko Sutherland, D.O.
• Carly Sutkiewicz, MA, LPC, NCC
• Cynthia Gail Sutter, PT

• 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 Apr 29, 2019; 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.