Organization Active NPI

School Counselor Link, LLC

  • Counselor
  • Grand Rapids, MI
National Provider Identifier
1245887454
Registry record updated Aug 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SCHOOL COUNSELOR LINK, LLC
Doing business as
Counselor Link, LLC
Practice address
4467 Cascade Rd SE Ste 4481
Grand Rapids, MI 49546-3776
Phone
(616) 745-4637
NPI assigned
Aug 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2019

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

Authorized official

Name
Dr. Shawn A Bultsma, PHD, LPC, NCC
Title
Counselor
Phone
(616) 745-4637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

4467 Cascade Rd SE Ste 4481
Grand Rapids, MI 49546-3776

Mailing address

327 Carlton Ave SE
Grand Rapids, MI 49506-1609
Phone (616) 745-4637

Other names 1

  • Counselor Link, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566604800000",
    "number": "1245887454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 CARLTON AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061609",
            "telephone_number": "616-745-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 CASCADE RD SE STE 4481",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463776",
            "telephone_number": "616-745-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL COUNSELOR LINK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-24",
        "status": "A",
        "authorized_official_last_name": "BULTSMA",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "616-745-4637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counselor Link, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Counselor Link, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 24, 2019; 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.