Active NPI
Peace Love Counseling, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grand Rapids, MI
National Provider Identifier
1336727676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PEACE LOVE COUNSELING, LLC
- Practice address
- 3282 Clear Vista CT NE Ste B
Grand Rapids, MI 49525-9766 - Phone
- (616) 286-1905
- NPI assigned
- Mar 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Danielle Buno, LMSW
- Title
- Counselor
- Phone
- (810) 252-0929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
3282 Clear Vista CT NE Ste B
Grand Rapids, MI 49525-9766
Mailing address
5029 Canal Ave SW
Wyoming, MI 49418-9722
Phone (810) 252-0929
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hello@balancedlifegr.com |
National Provider Directory
National Provider DirectoryLocations
3282 Clear Vista Ct NE
Ste B
Grand Rapids, MI 49525
Phone (616) 286-1905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617062400000",
"number": "1336727676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5029 CANAL AVE SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "494189722",
"telephone_number": "810-252-0929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3282 CLEAR VISTA CT NE STE B",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259766",
"telephone_number": "616-286-1905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACE LOVE COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-30",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A",
"authorized_official_last_name": "BUNO",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "810-252-0929",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hello@balancedlifegr.com",
"affiliation": "N",
"address_1": "3282 Clear Vista Ct NE Ste B",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495259766",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.