Organization Active NPI

Gus Hopson Psychology and Counseling Services LLC

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1457707879
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401007100 Issued in MI
Legal business name
GUS HOPSON PSYCHOLOGY AND COUNSELING SERVICES LLC
Doing business as
Gus Hopson Psychology and Counseling Services LLC
Practice address
1057 Ardmore St SE
Grand Rapids, MI 49507-2478
Phone
(616) 299-0284
Fax
(616) 350-9889
NPI assigned
May 5, 2016
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Mr. Gus Karl Hopson, LLPNPI 1427135755
Title
Limited License Psychologist
Phone
(616) 299-0284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6401007100 MI Primary

Addresses

Primary practice location

1057 Ardmore St SE
Grand Rapids, MI 49507-2478

Mailing address

1057Ardmore SE
Grand Rapids, MI 49507-2478
Phone (616) 299-0284

Other names 1

  • Gus Hopson Psychology and Counseling Services LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4215 W Pasadena Ave
Ste 3
Flint, MI 48504
Phone (616) 299-0284

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": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1457707879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057ARDMORE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495072478",
            "telephone_number": "616-299-0284",
            "fax_number": "616-350-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 ARDMORE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495072478",
            "telephone_number": "616-299-0284",
            "fax_number": "616-350-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUS HOPSON PSYCHOLOGY AND COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "HOPSON",
        "authorized_official_first_name": "GUS",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "LIMITED LICENSE PSYCHOLOGIST",
        "authorized_official_telephone_number": "616-299-0284",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401007100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gus Hopson Psychology and Counseling Services LLC",
            "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 Jun 20, 2018; 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.