Active NPI
Steven Edelman, LLPC
- Professional Counselor
- Grand Rapids, MI
National Provider Identifier
1225691496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401018336
- Practice address
- 1553 Plainfield Ave NE
Unit 4
Grand Rapids, MI 49505 - Phone
- (307) 840-5122
- NPI assigned
- Apr 15, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401018336 | MI | Primary |
Addresses
Primary practice location
1553 Plainfield Ave NE
Unit 4
Grand Rapids, MI 49505
Mailing address
922 Virginia St SE
Grand Rapids, MI 49506-1511
Phone (307) 840-5122
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 |
|---|---|---|---|
| 6401018336 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1225691496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 VIRGINIA ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061511",
"telephone_number": "307-840-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1553 PLAINFIELD AVE NE",
"address_2": "UNIT 4",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49505",
"telephone_number": "307-840-5122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDELMAN",
"first_name": "STEVEN",
"credential": "LLPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-15",
"last_updated": "2021-03-11",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401018336",
"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 Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.