Organization Active NPI

Ejde Consulting

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1265239867
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EJDE CONSULTING
Practice address
241 Finney Ave SW Ste 4
Grand Rapids, MI 49503-4311
Phone
(616) 648-2686
NPI assigned
Mar 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

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

Authorized official

Name
Eric Desantis, LPCNPI 1144588146
Title
Owner
Phone
(616) 648-2686

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

241 Finney Ave SW Ste 4
Grand Rapids, MI 49503-4311

Mailing address

4279 Sawkaw Dr NE
Grand Rapids, MI 49525-6513
Phone (616) 648-2686

Other practice location 1

4279 Sawkaw Dr NE
Grand Rapids, MI 49525-6513
Phone (616) 648-2686

National Provider Directory

National Provider Directory

Locations

241 Finney Ave SW
Ste 4
Grand Rapids, MI 49503
Phone (616) 648-2686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740787200000",
    "number": "1265239867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4279 SAWKAW DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256513",
            "telephone_number": "616-648-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 FINNEY AVE SW STE 4",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034311",
            "telephone_number": "616-648-2686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4279 Sawkaw Dr NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495256513",
            "country_code": "US",
            "telephone_number": "616-648-2686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EJDE CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-01",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A",
        "authorized_official_last_name": "DESANTIS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-648-2686",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 1, 2025; 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.