Mike Jay Pontius I

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401006132 Issued in MI

Practice address

40 Jefferson Ave SE
Grand Rapids, MI 49503-4304

Phone

(616) 988-9388

Fax

(616) 732-6392

NPI assigned

Nov 17, 2006

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

Other names 1

• Mr. Michael Jay Pontius I Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1437222171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150521",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495150521",
            "telephone_number": "616-437-6628",
            "fax_number": "616-336-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 JEFFERSON AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034304",
            "telephone_number": "616-988-9388",
            "fax_number": "616-732-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTIUS",
        "first_name": "MIKE",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401006132",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "PONTIUS",
            "middle_name": "JAY",
            "prefix": "MR.",
            "suffix": "I",
            "credential": "M.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alondra Jazmin Ponce
• Anna Estela Ponce
• Kira Poncin, LPC
• Karina Andrea Pone, DO
• Codi M Ponte, LMSW
• Anne Marie Poole, BS
• Jennifer Poole
• Abigail Mia Poort, PHARMD
• Scott A Poortenga, MD
• Mohammad Javad Poostizadeh, MD

• 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 Sep 11, 2025; 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.