Active NPI
Erika Ingrid Oliver, MA, LLP, CAADC
- Counseling Psychologist
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301013660
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013660 | MI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grounded in Growth LLC | Current | Accepting new patients | |
| Melissa Muir Counseling Services PLLC | Current | Accepting new patients | |
| Clark Institute Psychology PLLC | Past | 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.
-
- Psychologist
- Grand Rapids, MI
- NPI 1477019404
-
- Clinical Psychologist
- Grand Rapids, MI
- NPI 1740914316
-
- Psychologist
- Caledonia, MI
- NPI 1508339524
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.