West Side Counseling Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WEST SIDE COUNSELING SERVICES

Practice address

336 Gladstone Dr SE
East Grand Rapids, MI 49506-1732

Phone

(734) 709-3265

NPI assigned

Mar 1, 2023

Last updated

Mar 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maggie Mae Travin, LPC

Title

Licensed Professional Counselor

Phone

(734) 709-3265

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1396444188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 GLADSTONE DR SE",
            "city": "EAST GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061732",
            "telephone_number": "734-709-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 GLADSTONE DR SE",
            "city": "EAST GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061732",
            "telephone_number": "734-709-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "TRAVIN",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "734-709-3265",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Staton
• The Dental House PLLC (The Dental House)
• Julie Tiedgen, PT
• Margaret Elizabeth Truman, CCC-SLP
• Joshua Michael Wansten, D.D.S.
• Jamie Wilcox
• Brockton Willey
• Lydia Charlene Wollak
• Wonder Wound Care

• Professional Counselor in East Grand Rapids, MI
• Providers in East Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.