Organization Active NPI

Nova Counseling Associates Inc.

  • Professional Counselor
  • Big Rapids, MI
National Provider Identifier
1306902515
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401000066 Issued in MI
Legal business name
NOVA COUNSELING ASSOCIATES INC.
Practice address
1724 N State St
Big Rapids, MI 49307-9073
Phone
(231) 796-4637
NPI assigned
Dec 29, 2006
Last updated
Nov 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Mr. Thomas James Rundquist, LPC
Title
Administrative Director
Phone
(231) 796-4637

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 540022 MI
Professional Counselor 101YP2500X 6401000066 MI Primary

Addresses

Primary practice location

1724 N State St
Big Rapids, MI 49307-9073

Mailing address

1724 N State St
Big Rapids, MI 49307-9073
Phone (231) 796-4637

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1306902515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 N STATE ST",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493079073",
            "telephone_number": "231-796-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 N STATE ST",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493079073",
            "telephone_number": "231-796-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA COUNSELING ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "RUNDQUIST",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "231-796-4637",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "540022",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401000066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.