Active NPI
Joe Martino Counseling
- Mental Health Counselor
- Grand Rapids, MI
National Provider Identifier
1265863120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401012156
- 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, 2013
- 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
- Joseph Paul Martino, MA LLPC
- Title
- President
- Phone
- (616) 481-3784
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.