Wesley Keith Washington, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401018485 Issued in MI

Practice address

7150 Kalamazoo Ave SE
Suite C
Caledonia, MI 49316

Phone

(616) 219-0159

NPI assigned

Jul 10, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225550403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 KALAMAZOO AVE SE",
            "address_2": "SUITE C",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493161201",
            "telephone_number": "616-219-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 KALAMAZOO AVE SE",
            "address_2": "SUITE C",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "49316",
            "telephone_number": "616-219-0159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Eastern Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495031201",
            "country_code": "US",
            "telephone_number": "616-224-7617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "WESLEY",
        "middle_name": "KEITH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401016188",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401018485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Seth Vanwormer, D.O.
• Austin Vasquez
• Robin Teresa Vaughan, D.D.S.
• Briana Virkstis
• Chelsey Lynne Walquist, MD
• Jolene Weesjes, DPT
• Julie Weisenberger
• Charles T Wenzel, DDS
• West Michigan Dental Professionals
• Kayla N Westcott

• Counselor in Caledonia, MI
• Providers in Caledonia, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.