Organization Active NPI

Rebecca Rozema, LMSW

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holland, MI
National Provider Identifier
1346979192
Registry record updated Jun 17, 2022
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
REBECCA ROZEMA, LMSW
Practice address
323 W 34TH St Ste 100
Holland, MI 49423-4608
Phone
(616) 885-0381
NPI assigned
Jun 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebecca L Rozema, LCSW, LMSWNPI 1790965705
Title
Owner
Phone
(616) 885-0381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

323 W 34TH St Ste 100
Holland, MI 49423-4608

Mailing address

323 W 34TH St Ste 100
Holland, MI 49423-4608
Phone (616) 885-0381

Other names 2

  • Rebecca Rozema LMSW, PLLC Doing business as
  • Ripples of Change Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1346979192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W 34TH ST STE 100",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234608",
            "telephone_number": "616-885-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W 34TH ST STE 100",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234608",
            "telephone_number": "616-885-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA ROZEMA, LMSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "ROZEMA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-885-0381",
        "authorized_official_credential": "LCSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebecca Rozema LMSW, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ripples of Change Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.