Organization Active NPI

Tabletalk Counseling LLC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1447020995
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TABLETALK COUNSELING LLC
Practice address
401 Hall St SW Ste 112E
Grand Rapids, MI 49503-6500
Phone
(616) 275-4846
NPI assigned
Jan 5, 2024
Last updated
Sep 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

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

Authorized official

Name
Cassie HallNPI 1053991786
Title
Owner
Phone
(616) 275-4846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU
Group Psychotherapy Psychologist 103TP2701X NU
Clinical Social Worker 1041C0700X NU Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

401 Hall St SW Ste 112E
Grand Rapids, MI 49503-6500

Mailing address

401 Hall St SW Ste 112E
Grand Rapids, MI 49503-6500
Phone (616) 275-4846

National Provider Directory

National Provider Directory

Locations

1971 E Beltline Ave NE
Ste 106666
Grand Rapids, MI 49525

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": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726876800000",
    "number": "1447020995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HALL ST SW STE 112E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495036500",
            "telephone_number": "616-275-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HALL ST SW STE 112E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495036500",
            "telephone_number": "616-275-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABLETALK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-275-4846"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; 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.