NPIMap

Organization Active NPI

West Michigan Psychological Services LLC

  • Mental Health Counselor
  • Holland, MI
National Provider Identifier
1215407044
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WEST MICHIGAN PSYCHOLOGICAL SERVICES LLC
Doing business as
West Michigan Psychological Services LLC
Practice address
400 136TH Ave Ste 416
Holland, MI 49424-2905
Phone
(616) 952-9957
NPI assigned
Dec 5, 2018
Last updated
Oct 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Leslie Roberts, LPC, LLPNPI 1265678338
Title
Owner
Phone
(616) 460-0174

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Psychologist 103T00000X
Counseling Psychologist 103TC1900X

Addresses

Primary practice location

400 136TH Ave Ste 416
Holland, MI 49424-2905

Mailing address

400 136TH Ave Ste 416
Holland, MI 49424-2905
Phone (616) 952-9957

Other practice location 1

1475 Robbins Rd Ste 150
Grand Haven, MI 49417-3700
Phone (616) 315-9605

Other practice location 2

120 W Apple Ave
Muskegon, MI 49440-1302
Phone (231) 237-8898

Other names 1

  • West Michigan Psychological Services LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201215003321 MI Part B Supplier - Clinic/Group Practice 6103238167 Receives reassigned benefits from 17 practitioners
Practice locations: Holland, MI

National Provider Directory

National Provider Directory

Locations

259 Hoover Blvd
Ste 140
Holland, MI 49423
Phone (616) 460-0174

890 Washington Ave
Ste 150
Holland, MI 49423
Phone (616) 952-9957

890 Washington Ave
Ste 200
Holland, MI 49423

120 W Apple Ave
Muskegon, MI 49440
Phone (231) 237-8898

Practitioners & affiliated clinicians

Practitioners 41

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 41

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1215407044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 136TH AVE STE 416",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242905",
            "telephone_number": "616-952-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 136TH AVE STE 416",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242905",
            "telephone_number": "616-952-9957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1475 Robbins Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494173700",
            "country_code": "US",
            "telephone_number": "616-315-9605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 W Apple Ave",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494401302",
            "country_code": "US",
            "telephone_number": "231-237-8898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST MICHIGAN PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-460-0174",
        "authorized_official_credential": "LPC, LLP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Michigan Psychological Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.