Keegan Ferris, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6451019344 Issued in MI

Practice address

800 Monroe Ave NW Ste 319
Grand Rapids, MI 49503-1451

Phone

(616) 275-4646

NPI assigned

Mar 1, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Pivot Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Zeeland, MI
  • NPI 1710562822
  NPD (past)

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1407396187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BURTON ST SE APT 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49507",
            "telephone_number": "765-749-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MONROE AVE NW STE 319",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031451",
            "telephone_number": "616-275-4646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Burton St SE Apt 2",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495073054",
            "country_code": "US",
            "telephone_number": "765-749-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "KEEGAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-01",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MI",
            "license": "F620465744062",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451019344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heshan Jude Fernando, PHD
• Adriana Ferreira Simoes Serrao
• Elizabeth Ferrier
• Eric Edward Ferrigan, PA-C
• Abigail Marie Ferris
• Lindsey Ann Ferris, PA-C
• Alexandra Elizabeth Feschenko, MD
• Britta Samuelson Fesler
• Nika Lenee Fesler, LPC
• Tyler Fessell

• Professional Counselor in Grand Rapids, MI
• Providers in 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 Jan 10, 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.