Active NPI
Amanda Dehaan Counseling, LLC
- Clinical Social Worker
- Wyoming, MI
National Provider Identifier
1235798570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- AMANDA DEHAAN COUNSELING, LLC
- Practice address
- 1055 Gezon Pkwy SW
Wyoming, MI 49509-9542 - Phone
- (616) 773-2908
- NPI assigned
- Jun 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda K Dehaan, LMSW
- Title
- Social Worker
- Phone
- (616) 460-1663
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1055 Gezon Pkwy SW
Wyoming, MI 49509-9542
Mailing address
3815 Meadowood LN SW
Grandville, MI 49418-2033
Phone (616) 460-1663
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Wyoming, MI
- NPI 1720383946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704240000000",
"number": "1235798570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 MEADOWOOD LN SW",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494182033",
"telephone_number": "616-460-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 GEZON PKWY SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495099542",
"telephone_number": "616-773-2908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMANDA DEHAAN COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-11",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A",
"authorized_official_last_name": "DEHAAN",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "616-460-1663",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"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 Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.