Organization Active NPI

West Michigan Counseling L.L.C.

  • Clinical Social Worker
  • Battle Creek, MI
National Provider Identifier
1417054156
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WEST MICHIGAN COUNSELING L.L.C.
Practice address
4625 Beckley Rd
Building 100
Battle Creek, MI 49015-7948
Phone
(269) 979-8490
Fax
(269) 979-8492
NPI assigned
Sep 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lila Mae Pdride, L.M.S.W.
Title
Owner
Phone
(269) 979-8490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4625 Beckley Rd
Building 100
Battle Creek, MI 49015-7948

Mailing address

4625 Beckley Rd
Building 100
Battle Creek, MI 49015-7948
Phone (269) 979-8490

National Provider Directory

National Provider Directory

Locations

4625 Beckley Rd
Bldg 100
Battle Creek, MI 49015
Phone (269) 788-2724

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417054156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 BECKLEY RD",
            "address_2": "BUILDING 100",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157948",
            "telephone_number": "269-979-8490",
            "fax_number": "269-979-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 BECKLEY RD",
            "address_2": "BUILDING 100",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157948",
            "telephone_number": "269-979-8490",
            "fax_number": "269-979-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN COUNSELING L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PDRIDE",
        "authorized_official_first_name": "LILA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-979-8490",
        "authorized_official_credential": "L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.