Sunburst Integrative Therapy & Wellness PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SUNBURST INTEGRATIVE THERAPY & WELLNESS PLLC

Practice address

2534 Ashwood CT SE
Ada, MI 49301-9210

Phone

(616) 560-5475

NPI assigned

May 15, 2020

Organization subpart

No

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

Authorized official

Name

Amy Kirsten Parks-Williams, LMSWNPI 1437400637

Title

Owner/Member

Phone

(616) 560-5475

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Amy Parks-Williams, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1437400637
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1366064065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 ASHWOOD CT SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019210",
            "telephone_number": "616-560-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 ASHWOOD CT SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019210",
            "telephone_number": "616-560-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBURST INTEGRATIVE THERAPY & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "PARKS-WILLIAMS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "KIRSTEN",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "616-560-5475",
        "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": [],
    "other_names": []
}

• Jennifer Lynn Stecco, LMSW
• Allison Leigh Stevens, M.A., L.L.P.
• Thomas Richard Stewart, MA, LLP
• Allison Stone
• Katherine Ann Stotts
• Suzanne Lieuwen LMSW LLC
• Beth Needham Sweney, PA-C
• Ann Elizabeth Tarr, LMSW
• Megan Taylor
• Andrea Christine Tellier, OT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ada, MI
• Providers in Ada, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.