Chitradevi CC Widen, LMFT; LPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101007012 Issued in MI

Practice address

8080 Moorsbridge Rd Ste 102
Portage, MI 49024-4422

Phone

(616) 920-1586

NPI assigned

Jun 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1275026247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 BARNSLEY CT",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493318677",
            "telephone_number": "616-780-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 MOORSBRIDGE RD STE 102",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244422",
            "telephone_number": "616-920-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDEN",
        "first_name": "CHITRADEVI",
        "middle_name": "CC",
        "credential": "LMFT; LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401020223",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101007012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camaria White
• Jeffrey Gordon White, LCSW
• Skyler White
• Todd J White, DO
• Nicole Whitelow
• Jeffrey Edward Wiederhold, D.C.
• Sandra Wiederhold, MD
• Barbara Wiedmayer
• Shirani Damayanthi Wijay-Samarasinha, M.D.
• Kim Wikel

• Marriage & Family Therapist in Portage, MI
• Providers in Portage, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.