Active NPI
Integrative Counseling and Psychological Services LLC
- Psychologist
- Caledonia, MI
National Provider Identifier
1366983082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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 DirectoryLocations
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.