Organization Active NPI

Employee Assistance Center Garden

  • Counseling Psychologist
  • Holland, MI
National Provider Identifier
1295017929
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
EMPLOYEE ASSISTANCE CENTER GARDEN
Practice address
372 Garden
Holland, MI 49424
Phone
(800) 227-0905
Fax
(616) 975-3565
NPI assigned
Sep 20, 2011
Last updated
Sep 20, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
CHERRY STREET HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Chris Shea
Title
Ceo
Phone
(616) 776-2129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X NU Primary

Addresses

Primary practice location

372 Garden
Holland, MI 49424

Mailing address

100 Cherry Street SE
Grand Rapids, MI 49503-4748
Phone (616) 935-8200

National Provider Directory

National Provider Directory
Part of
Employee Assistance Center Fulton

Locations

372 Garden Ave
Holland, MI 49424
Phone (800) 227-0905

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1295017929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHERRY STREET SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034748",
            "telephone_number": "616-935-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 GARDEN",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49424",
            "telephone_number": "800-227-0905",
            "fax_number": "616-975-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPLOYEE ASSISTANCE CENTER GARDEN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHERRY STREET HEALTH SERVICES",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-776-2129"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.