Individual provider Active NPI

Erika Ingrid Oliver, MA, LLP, CAADC

  • Counseling Psychologist
  • Grand Rapids, MI
National Provider Identifier
1306033238
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301013660 Issued in MI
Practice address
416 Plymouth Ave. NE
Grand Rapids, MI 49505
Phone
(616) 202-6484
Fax
(616) 228-4959
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6301013660 MI Primary

Addresses

Primary practice location

416 Plymouth Ave. NE
Grand Rapids, MI 49505

Mailing address

416 Plymouth Ave. NE
Grand Rapids, MI 49505
Phone (616) 202-6484

Other practice location 1

233 Fulton St E # 524
Grand Rapids, MI 49503-3200
Phone (616) 259-7207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251106000836 MI Practitioner - Psychologist Billing Independently 6204326465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1876 Millins Ave NW
Walker, MI 49534-2439

630 Kenmoor Ave SE
Suite 101a
Grand Rapids, MI 49546-8626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301013660MIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grounded in Growth LLC CurrentSince Mar 24, 2024 Accepting new patients
Melissa Muir Counseling Services PLLC CurrentSince Oct 7, 2025 Accepting new patients
Clark Institute Psychology PLLC PastSince Oct 7, 2025 Accepting new patients

Locations

416 Plymouth Ave NE
Grand Rapids, MI 49505
Phone (616) 202-6480

630 Kenmoor Ave SE
Ste 101A
Grand Rapids, MI 49546
Phone (616) 204-5589

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1306033238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 PLYMOUTH AVE. NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49505",
            "telephone_number": "616-202-6484",
            "fax_number": "616-228-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 PLYMOUTH AVE. NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49505",
            "telephone_number": "616-202-6484",
            "fax_number": "616-228-4959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 Fulton St E # 524",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495033200",
            "country_code": "US",
            "telephone_number": "616-259-7207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "ERIKA",
        "middle_name": "INGRID",
        "name_prefix": "Ms.",
        "credential": "MA, LLP, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301013660",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.