Active NPI
Randy Martin Hoekstra
- Behavior Analyst
- Wyoming, MI
National Provider Identifier
1225635550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7401001711
- Practice address
- 4467 Byron Center Ave SW
Wyoming, MI 49519-4808 - Phone
- (616) 552-9544
- NPI assigned
- Oct 9, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Analyst | 103K00000X | MI | ||
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 7401001711 | MI | Primary |
Addresses
Primary practice location
4467 Byron Center Ave SW
Wyoming, MI 49519-4808
Mailing address
6135 Bittersweet Dr NE
Belmont, MI 49306-9652
Phone (616) 430-5171
Other practice location 1
2814 Woodcliff Cir SE
Grand Rapids, MI 49506-3155
Phone (616) 430-5171
Other practice location 2
6135 Bittersweet Dr NE
Belmont, MI 49306-9652
Phone (616) 430-5171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7401001711 | MI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1225635550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6135 BITTERSWEET DR NE",
"city": "BELMONT",
"state": "MI",
"postal_code": "493069652",
"telephone_number": "616-430-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4467 BYRON CENTER AVE SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495194808",
"telephone_number": "616-552-9544"
}
],
"practiceLocations": [
{
"address_1": "2814 Woodcliff Cir SE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495063155",
"country_code": "US",
"telephone_number": "616-430-5171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6135 Bittersweet Dr NE",
"address_purpose": "LOCATION",
"city": "Belmont",
"state": "MI",
"postal_code": "493069652",
"country_code": "US",
"telephone_number": "616-430-5171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOEKSTRA",
"first_name": "RANDY",
"middle_name": "MARTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-09",
"last_updated": "2025-09-02",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "7401001711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.