Individual provider Active NPI

Damika Marie Houston, LPC

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1235619214
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401015434 Issued in MI
Practice address
948 33Rd St SE
Grand Rapids, MI 49508-2435
Phone
(616) 264-8146
NPI assigned
Aug 18, 2018
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401015434 MI Primary

Addresses

Primary practice location

948 33Rd St SE
Grand Rapids, MI 49508-2435

Mailing address

5180 Kalamazoo Ave SE Ste 2
Kentwood, MI 49508-4817
Phone (616) 287-0754

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

LicenseStateTypeSpecialty
6401015434MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Minds Counseling Services Professional CurrentSince Apr 3, 2022 Accepting new patients

Locations

5180 Kalamazoo Ave SE
Ste 2
Kentwood, MI 49508
Phone (616) 264-8146

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1235619214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 KALAMAZOO AVE SE STE 2",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495084817",
            "telephone_number": "616-287-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 33RD ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495082435",
            "telephone_number": "616-264-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "DAMIKA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-18",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015434",
            "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 29, 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.