Organization Active NPI

Tatiana Richardson Therapy Services, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1447034335
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TATIANA RICHARDSON THERAPY SERVICES, LLC
Doing business as
Pursuit of Healing Therapy Services
Practice address
5020 E Beltline Ave NE Ste 201B
Grand Rapids, MI 49525-6869
Phone
(616) 848-9616
NPI assigned
Aug 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Tatiana S Richardson, LMSW
Title
Owner
Phone
(616) 848-9616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5020 E Beltline Ave NE Ste 201B
Grand Rapids, MI 49525-6869

Mailing address

5020 E Beltline Ave NE Ste 201B
Grand Rapids, MI 49525-6869
Phone (616) 848-9616

Other names 1

  • Pursuit of Healing Therapy Services Doing business as

National Provider Directory

National Provider Directory

Locations

5020 E Beltline Ave NE
Ste 201B
Grand Rapids, MI 49525
Phone (616) 848-9616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1447034335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 E BELTLINE AVE NE STE 201B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256869",
            "telephone_number": "616-848-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 E BELTLINE AVE NE STE 201B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256869",
            "telephone_number": "616-848-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATIANA RICHARDSON THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-848-9616",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pursuit of Healing Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 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.