Active NPI
Bethany Christian Services
- Marriage & Family Therapist
- Grand Rapids, MI
National Provider Identifier
1225347347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 6401008126
- Legal business name
- BETHANY CHRISTIAN SERVICES
- Practice address
- 901 Eastern Ave NE
Grand Rapids, MI 49503-1201 - Phone
- (616) 224-7508
- Fax
- (616) 224-7589
- NPI assigned
- Oct 7, 2010
- Last updated
- Oct 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Christopher A May
- Title
- Therapist
- Phone
- (616) 224-7508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 6401008126 | MI | Primary |
Addresses
Primary practice location
901 Eastern Ave NE
Grand Rapids, MI 49503-1201
Mailing address
901 Eastern Ave NE
Grand Rapids, MI 49503-1201
Phone (616) 224-7508
National Provider Directory
National Provider Directory- Tax ID family
- Bethany Christian Serv Ices
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Locations
901 Eastern Ave NE
Grand Rapids, MI 49503
Phone (616) 224-7617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286409600000",
"number": "1225347347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 EASTERN AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031201",
"telephone_number": "616-224-7508",
"fax_number": "616-224-7589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 EASTERN AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031201",
"telephone_number": "616-224-7508",
"fax_number": "616-224-7589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHANY CHRISTIAN SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-07",
"last_updated": "2010-10-07",
"status": "A",
"authorized_official_last_name": "MAY",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "616-224-7508",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "6401008126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.