A Conscious Journey LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

A CONSCIOUS JOURNEY LLC

Practice address

800 Monroe Ave NW Ste 217
Grand Rapids, MI 49503-1451

Phone

(616) 984-0899

NPI assigned

May 2, 2022

Last updated

Jan 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Colley Jacobson, LPCNPI 1316403678

Title

Counselor

Phone

(616) 984-0899

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Colley Jacobson, LPC, CAADC

  • Counselor
  • Grand Rapids, MI
  • NPI 1316403678
  NPD Authorized official

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1265177422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4593 CANTERWOOD DR NE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018712",
            "telephone_number": "248-935-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MONROE AVE NW STE 217",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031451",
            "telephone_number": "616-984-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CONSCIOUS JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "COLLEY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "616-984-0899",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.