Timothy Bruce Popma

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451018718 Issued in MI

Practice address

303 E Broomfield St
Mount Pleasant, MI 48858-3802

Phone

(989) 621-1659

NPI assigned

May 20, 2022

Last updated

May 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1225776289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E BROOMFIELD ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583802",
            "telephone_number": "989-621-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E BROOMFIELD ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583802",
            "telephone_number": "989-621-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPMA",
        "first_name": "TIMOTHY",
        "middle_name": "BRUCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451018718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.