Active NPI
4 Degrees Integrative Therapy and Consulting, PLLC
- Clinical Social Worker
- Norton Shores, MI
National Provider Identifier
1346745601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- 4 DEGREES INTEGRATIVE THERAPY AND CONSULTING, PLLC
- Practice address
- 800 E Ellis Rd # 563
Norton Shores, MI 49441-5646 - Phone
- (231) 799-4929
- NPI assigned
- Mar 28, 2018
- 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
- Mr. Bradley A Ayers, LMSW
- Title
- Owner
- Phone
- (616) 328-3399
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
800 E Ellis Rd # 563
Norton Shores, MI 49441-5646
Mailing address
6140 Hardy Ave Apt 1
East Lansing, MI 48823-1560
National Provider Directory
National Provider DirectoryLocations
800 E Ellis Rd
#563
Norton Shores, MI 49441
Phone (231) 799-4929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623283200000",
"number": "1346745601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6140 HARDY AVE APT 1",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488231560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E ELLIS RD # 563",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494415646",
"telephone_number": "231-799-4929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "4 DEGREES INTEGRATIVE THERAPY AND CONSULTING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-28",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A",
"authorized_official_last_name": "AYERS",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-328-3399",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norton Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.