VR Therapy and Counseling Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L260765 Issued in MI

Legal business name

VR THERAPY AND COUNSELING CENTER, LLC

Practice address

1618 Leonard St NE
Grand Rapids, MI 49505-6438

Phone

(616) 988-9049

NPI assigned

Nov 5, 2014

Last updated

Nov 5, 2014By 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

Thomas Jay OverlyNPI 1881091635

Title

Social Worker

Phone

(616) 988-9049

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Thomas Overly, LLMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1881091635
  Authorized official Same address or phone
• Antonio Richard Barron, PA-C

  • Medical Physician Assistant
  • Grand Rapids, MI
  • NPI 1134774524
  NPD (past)
• Micah Nahum Foster, PA-C

  • Physician Assistant
  • Wyoming, MI
  • NPI 1013472695
  NPD (past)
• Smitha Mary Varkey, PA-C

  • Physician Assistant
  • Lansing, MI
  • NPI 1861910812
  NPD (past)

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1407252232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 LEONARD ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495056438",
            "telephone_number": "616-988-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 LEONARD ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495056438",
            "telephone_number": "616-988-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VR THERAPY AND COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "OVERLY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "616-988-9049"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "L260765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad M Vostad, OTR/L
• Michael J Votruba, MD
• Austin Peter Voydanoff, MD
• Maria Voydanoff, MD
• VP Rehab Care Inc.
• Michael Clifton Vredenburg, D.O.
• Kaitlin Elizabeth Vredeveld
• Mason J Vredeveld
• Cassidy Vredevoogd
• Jeremiah J Vroegindewey, DO

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.