Individual provider Active NPI

Israel Urias Lee Ostrander, D-TLLP

  • Counseling Psychologist
  • Grand Rapids, MI
National Provider Identifier
1336711480
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6352001140 Issued in MI
Practice address
6810 Old 28TH St SE Ste 4
Grand Rapids, MI 49546-6932
Phone
(616) 264-5414
NPI assigned
Jul 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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 6352001140 MI Primary

Addresses

Primary practice location

6810 Old 28TH St SE Ste 4
Grand Rapids, MI 49546-6932

Mailing address

940 Wisconsin Ave # 1
Saint Joseph, MI 49085-1538
Phone (231) 408-0526

Other practice location 1

12930 James St Ste 140
Holland, MI 49424-8324
Phone (616) 322-1954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6352001140MIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sollars and Associates PastSince Aug 28, 2021 Accepting new patients

Organizations & group practices 1

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1336711480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 WISCONSIN AVE # 1",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851538",
            "telephone_number": "231-408-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 OLD 28TH ST SE STE 4",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466932",
            "telephone_number": "616-264-5414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12930 James St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494248324",
            "country_code": "US",
            "telephone_number": "616-322-1954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTRANDER",
        "first_name": "ISRAEL",
        "middle_name": "URIAS LEE",
        "credential": "D-TLLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6352001140",
            "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 Jun 10, 2025; 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.