Active NPI
Andrew R Donaldson, MA, LLPC
- Professional Counselor
- Grand Rapids, MI
National Provider Identifier
1235666561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401015740
- Practice address
- 500 Cascade West Pkwy SE Ste 240
Grand Rapids, MI 49546-2166 - Phone
- (616) 591-9000
- Fax
- (616) 591-9060
- NPI assigned
- May 17, 2017
- Last updated
- Jul 21, 2022
- 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 | 6401015740 | MI | Primary |
Addresses
Primary practice location
500 Cascade West Pkwy SE Ste 240
Grand Rapids, MI 49546-2166
Mailing address
500 Cascade West Pkwy SE Ste 240
Grand Rapids, MI 49546-2166
Phone (616) 591-9000
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401015740 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Rapids Therapy Group Inc | Current | Accepting new patients |
Locations
500 Cascade West Pkwy SE
Ste 240
Grand Rapids, MI 49546
Phone (616) 591-9000
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": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1235666561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CASCADE WEST PKWY SE STE 240",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462166",
"telephone_number": "616-591-9000",
"fax_number": "616-591-9060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CASCADE WEST PKWY SE STE 240",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462166",
"telephone_number": "616-591-9000",
"fax_number": "616-591-9060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "ANDREW",
"middle_name": "R",
"credential": "MA, LLPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401015740",
"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 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.