NPIMap

Organization Active NPI

Thethirdchair

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1376820860
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THETHIRDCHAIR
Practice address
648 Monroe Ave NW
Suite 100
Grand Rapids, MI 49503-1452
Phone
(616) 916-3711
Fax
(616) 825-6015
NPI assigned
Nov 10, 2011
Last updated
Dec 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Scott McKnight, LMSWNPI 1114126083
Title
Director, Founder
Phone
(616) 916-3711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

648 Monroe Ave NW
Suite 100
Grand Rapids, MI 49503-1452

Mailing address

648 Monroe Ave NW
Suite 100
Grand Rapids, MI 49503-1452
Phone (616) 916-3711

National Provider Directory

National Provider Directory

Locations

648 Monroe Ave NW
Ste 100
Grand Rapids, MI 49503
Phone (616) 308-9362

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1376820860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 MONROE AVE NW",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031452",
            "telephone_number": "616-916-3711",
            "fax_number": "616-825-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 MONROE AVE NW",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031452",
            "telephone_number": "616-916-3711",
            "fax_number": "616-825-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THETHIRDCHAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR, FOUNDER",
        "authorized_official_telephone_number": "616-916-3711",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.