Pro-Active Counseling LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PRO-ACTIVE COUNSELING LLC

Practice address

1410 84TH St SW
Byron Center, MI 49315-9344

Phone

(616) 292-1995

Fax

(616) 827-2277

NPI assigned

Mar 3, 2020

Organization subpart

No

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

Authorized official

Name

Angela Musselman, LLPNPI 1184845455

Title

Director

Phone

(616) 292-1995

Specialties & licenses 2

Addresses

Practitioners 1

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

• Angela Ann Musselman, L.L.P.

  • Psychologist
  • Grand Rapids, MI
  • NPI 1184845455
  NPD (past) Authorized official

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1376178020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493150519",
            "telephone_number": "616-292-1995",
            "fax_number": "616-827-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 84TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159344",
            "telephone_number": "616-292-1995",
            "fax_number": "616-827-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-ACTIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "MUSSELMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "616-292-1995",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Polanco-Nunez
• Sabreen Rae Polavin, LMSW
• Jack A Poll, RPH
• Shelby Powers
• Katherine Ann Prieur, BCBA
• Professional Financial Services (Saint Mary's Urgent Care Plus)
• Becky Purkaple, MD
• Rachel Elaine Quist, PA
• David G. Raffo, MD
• Railside Assisted Living Center

• Psychologist in Byron Center, MI
• Providers in Byron Center, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.