Organization Active NPI

HJB Therapy, LLC

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1285271023
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HJB THERAPY, LLC
Practice address
221 Trowbridge St NE Apt 208
Grand Rapids, MI 49503-1891
Phone
(616) 499-7711
NPI assigned
Nov 27, 2019
Last updated
Nov 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Authorized official

Name
Savanna Bell
Title
Credentialing
Phone
(616) 894-5615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

221 Trowbridge St NE Apt 208
Grand Rapids, MI 49503-1891

Mailing address

2601 Hague Ave SW
Wyoming, MI 49519-2335
Phone (616) 378-6201

Other identifiers 1

IdentifierTypeStateIssuer
6401016112OtherMILICENSE

National Provider Directory

National Provider Directory
Tax ID family
Harmony Wellness LLC2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1285271023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 HAGUE AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495192335",
            "telephone_number": "616-378-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 TROWBRIDGE ST NE APT 208",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031891",
            "telephone_number": "616-499-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HJB THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "SAVANNA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "616-894-5615"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6401016112",
            "state": "MI"
        }
    ],
    "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 Nov 27, 2019; 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.