NPIMap

Organization Active NPI

Grand Rapids Counseling and Consultation

  • Professional Counselor
  • Byron Center, MI
National Provider Identifier
1306554282
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GRAND RAPIDS COUNSELING AND CONSULTATION
Practice address
1239 76TH St SW Ste H4
Byron Center, MI 49315-7921
Phone
(616) 780-1243
NPI assigned
Nov 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Kelly Ibarra, MA, LPC, SCLNPI 1063075562
Title
Owner
Phone
(616) 258-6270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1239 76TH St SW Ste H4
Byron Center, MI 49315-7921

Mailing address

769 Sun Stone Dr SW
Byron Center, MI 49315-8396
Phone (616) 258-6270

Other practice location 1

1971 E Beltline Ave NE Ste 106
Grand Rapids, MI 49525-7045
Phone (616) 258-6270

Other practice location 2

769 Sun Stone Dr SW
Byron Center, MI 49315-8396
Phone (616) 258-6270

National Provider Directory

National Provider Directory
Tax ID family
Grand Rapids Counseling and Consultation2 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.

Locations

1239 76th St SW
Ste H4
Byron Center, MI 49315
Phone (616) 258-6270

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1306554282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 SUN STONE DR SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158396",
            "telephone_number": "616-258-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 76TH ST SW STE H4",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493157921",
            "telephone_number": "616-780-1243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1971 E Beltline Ave NE Ste 106",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495257045",
            "country_code": "US",
            "telephone_number": "616-258-6270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "769 Sun Stone Dr SW",
            "address_purpose": "LOCATION",
            "city": "Byron Center",
            "state": "MI",
            "postal_code": "493158396",
            "country_code": "US",
            "telephone_number": "616-258-6270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRAND RAPIDS COUNSELING AND CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "IBARRA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-258-6270",
        "authorized_official_credential": "MA, LPC, SCL"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron Center, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.