Footprints Counseling, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

6301011926 Issued in MI

Legal business name

FOOTPRINTS COUNSELING, PLLC

Practice address

393 Garden Ave
Holland, MI 49424-9602

Phone

(616) 294-0307

NPI assigned

Sep 13, 2017

Organization subpart

No

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

Authorized official

Name

Christina Beth Adamski, MA LLP

Title

Limited License Psychologist

Phone

(616) 294-0307

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295254985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 GARDEN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494249602",
            "telephone_number": "616-294-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 GARDEN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494249602",
            "telephone_number": "616-294-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ADAMSKI",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "LIMITED LICENSE PSYCHOLOGIST",
        "authorized_official_telephone_number": "616-294-0307",
        "authorized_official_credential": "MA LLP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6301011926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Michael Fogg, D.C.
• Maria S Fogle
• Mark Norval Folkening, MD
• Foot & Ankle Specialists of West Michigan P L L C
• Alexa Jane Foote, BCBA
• Abby Forde
• Ivana Ibrahimovic Foster, MED, CCC-SLP
• Maggie Anne Foster, MED
• Michael Faherty Foster, D.O.
• Robert Charles Foster

• Mental Health Clinic/Center (Including Community Mental Health Center) in Holland, MI
• Providers in Holland, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.