Organization Active NPI

Joe Martino Counseling

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1265863120
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401012156 Issued in MI
Legal business name
JOE MARTINO COUNSELING
Practice address
2305 East Paris Ave SE Ste 203
Grand Rapids, MI 49546-2426
Phone
(616) 481-3784
NPI assigned
Dec 3, 2013
Last updated
Dec 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Joseph Paul Martino, MA LLPC
Title
President
Phone
(616) 481-3784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401012156 MI Primary

Addresses

Primary practice location

2305 East Paris Ave SE Ste 203
Grand Rapids, MI 49546-2426

Mailing address

2305 East Paris Ave SE Ste 203
Grand Rapids, MI 49546-2426
Phone (616) 481-3784

Other names 1

  • Creative Solutions Counseling Other name

National Provider Directory

National Provider Directory

Locations

2305 East Paris Ave SE
Ste 203
Grand Rapids, MI 49546
Phone (616) 816-1758

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1265863120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 EAST PARIS AVE SE STE 203",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462426",
            "telephone_number": "616-481-3784",
            "fax_number": "866-496-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 EAST PARIS AVE SE STE 203",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462426",
            "telephone_number": "616-481-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE MARTINO COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "MARTINO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-481-3784",
        "authorized_official_credential": "MA LLPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Solutions Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 3, 2013; 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.