Laura Jane Pittsley, LLC, MT-BC, GC-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451023705 Issued in MI

Practice address

2920 Fuller Ave NE Ste 203
Grand Rapids, MI 49505-3458

Phone

(217) 242-8165

NPI assigned

Sep 21, 2022

Last updated

Jul 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Center of West Michigan, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1437610730
  NPD (past)

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1376266684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 WATERBURY DR SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086365",
            "telephone_number": "217-242-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 FULLER AVE NE STE 203",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053458",
            "telephone_number": "217-242-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTSLEY",
        "first_name": "LAURA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "LLC, MT-BC, GC-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451023705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Pitt
• Brittany Pittman
• Ceaira Pittman
• Janna Pittman
• Ayla Elizabeth Pitts
• Paige Eleanora Pitynski, PA-C
• Kelly Lynne Pitzer, MSPT
• Maira Pizano
• Yuri Pizano, RN
• Sarah Jordan Plachinski, MD

• Mental Health Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; 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.