John Lawrence Tuttle, MA, MED, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401012653 Issued in MI

Practice address

8046 Teakwood Dr
Jenison, MI 49428-7766

Phone

(616) 826-3115

NPI assigned

Sep 24, 2011

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

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakeshore Guidance LLC

  • Professional Counselor
  • Jenison, MI
  • NPI 1013846401
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1477836559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8046 TEAKWOOD DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287766",
            "telephone_number": "616-826-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8046 TEAKWOOD DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494287766",
            "telephone_number": "616-826-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "JOHN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "MA, MED, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012653",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahoma Enterprises LLC
• Kara Taylor, NP
• Morgan Tillman
• Darian Alisa Tompkins
• Chasey Tran, PHARMD
• Jessica Uzarski
• Nicole Van Allen Horne, M.D.
• Cassidy Van Dyke
• Rachel Vanbeek
• Katherine Vander Wal, DDS

• Professional Counselor in Jenison, MI
• Providers in Jenison, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.