Holistic Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801082338 Issued in MI

Legal business name

HOLISTIC COUNSELING SERVICES

Practice address

2524 Woodmeadow Dr SE
Ste. 1
Grand Rapids, MI 49546-8051

Phone

(616) 862-3296

Fax

(616) 466-7944

NPI assigned

Dec 22, 2015

Organization subpart

No

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

Authorized official

Name

Deborah Lynn Jandle, L.M.S.W.

Title

Owner/ Therapist

Phone

(616) 862-3296

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Holistic Counseling Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Holistic Counseling Services

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1801902481
  NPD tax ID

Locations

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1275998049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 WOODMEADOW DR SE",
            "address_2": "STE. 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468051",
            "telephone_number": "616-862-3296",
            "fax_number": "616-466-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 WOODMEADOW DR SE",
            "address_2": "STE. 1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468051",
            "telephone_number": "616-862-3296",
            "fax_number": "616-466-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "JANDLE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "616-862-3296",
        "authorized_official_credential": "L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MI6092",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose Jenman Holden, CCC- SLP
• Kelly Diane Darby Holder, PH.D.
• Holding Space Therapy PLLC
• Benjamin Bryan Holdredge
• Hannah Holiday, OTRL, OTD
• Holistic Counseling Services
• Holistic Harmony Counseling, PLLC
• Holistic Holdings LLC
• Holistic Therapeutic Services, PLLC
• Holistically Minded Wellness PLLC

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.