Organization Active NPI

4 Degrees Integrative Therapy and Consulting, PLLC

  • Clinical Social Worker
  • Norton Shores, MI
National Provider Identifier
1346745601
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jun 10, 2021

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.