Organization Active NPI

Grassroots Community Counseling Services

  • Adult Mental Health Clinic/Center
  • Lansing, MI
National Provider Identifier
1316717101
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GRASSROOTS COMMUNITY COUNSELING SERVICES
Doing business as
Grassroots Community Counseling Services
Practice address
4528 Ballard Rd
Lansing, MI 48911-2962
Phone
(517) 220-5521
NPI assigned
Jan 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Mrs. Reshia K King, LMSW, CAADCNPI 1083149017
Title
Manager
Phone
(517) 220-5521

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4528 Ballard Rd
Lansing, MI 48911-2962

Mailing address

4528 Ballard Rd
Lansing, MI 48911-2962
Phone (517) 328-8210

Other names 1

  • Grassroots Community Counseling Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1316717101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 BALLARD RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489112962",
            "telephone_number": "517-328-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 BALLARD RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489112962",
            "telephone_number": "517-220-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASSROOTS COMMUNITY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "RESHIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "517-220-5521",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grassroots Community Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.