Jordan Christian Counseling

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401005659 Issued in MI

Legal business name

JORDAN CHRISTIAN COUNSELING

Practice address

830 Jordan Lake St
Lake Odessa, MI 48849-1270

Phone

(616) 374-7410

NPI assigned

Jan 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diana L CalcottNPI 1013064369

Title

Owner

Phone

(616) 374-7410

Specialties & licenses 1

Addresses

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.

• Diana L Calcott, MA LP

  • Counselor
  • Lake Odessa, MI
  • NPI 1013064369
  NPD (past) Authorized official

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447307798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 WOODSIDE TRL NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042580",
            "telephone_number": "616-453-1835",
            "fax_number": "616-453-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 JORDAN LAKE ST",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491270",
            "telephone_number": "616-374-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALCOTT",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-374-7410"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401005659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deb Giaseman
• Kristen Nicole Gilley, PA-C
• Catherine Hemingway, R.D.H
• John P. Hemming, O.D.
• Chad Ronald Hickey, D.C.
• Linda L. Kimmel, MA, LPC
• Kathryn Kutas
• Lake Odessa Dental, PLLC (Lake Odessa Dental Associates)
• Lake Odessa Pharmacy (Lake O Rx)
• Lansing Ophthalmology, PC (LO Eye Care)

• Counselor in Lake Odessa, MI
• Providers in Lake Odessa, MI by specialty
• Counselor in Michigan

• 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.