Organization Active NPI

Peace Love Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Rapids, MI
National Provider Identifier
1336727676
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Mar 30, 2021

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address hello@balancedlifegr.com

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.