Organization Active NPI

Integrative Counseling and Psychological Services LLC

  • Psychologist
  • Caledonia, MI
National Provider Identifier
1366983082
Registry record updated Mar 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
INTEGRATIVE COUNSELING AND PSYCHOLOGICAL SERVICES LLC
Practice address
7199 Kalamazoo Ave SE
Suite 231
Caledonia, MI 49316-7341
Phone
(616) 278-0933
Fax
(616) 278-0931
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2017

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

Authorized official

Name
Nicole Ware Spencer, PSYD, MPH
Title
Licensed Clinical Psychologist
Phone
(616) 278-0933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

7199 Kalamazoo Ave SE
Suite 231
Caledonia, MI 49316-7341

Mailing address

7199 Kalamazoo Ave SE
Suite 231
Caledonia, MI 49316-7341
Phone (616) 278-0933

National Provider Directory

National Provider Directory

Locations

7199 Kalamazoo Ave SE
Ste 231
Caledonia, MI 49316
Phone (616) 278-0933

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490486400000",
    "number": "1366983082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7199 KALAMAZOO AVE SE",
            "address_2": "SUITE 231",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167341",
            "telephone_number": "616-278-0933",
            "fax_number": "616-278-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7199 KALAMAZOO AVE SE",
            "address_2": "SUITE 231",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493167341",
            "telephone_number": "616-278-0933",
            "fax_number": "616-278-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE COUNSELING AND PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-26",
        "status": "A",
        "authorized_official_last_name": "WARE SPENCER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "616-278-0933",
        "authorized_official_credential": "PSYD, MPH"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2017; 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.