Individual provider Active NPI

Ashley Jansma, LPC

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1477944692
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013093 Issued in MI
Practice address
1444 Michigan St NE Ste 7
Grand Rapids, MI 49503-2028
Phone
(248) 894-8421
NPI assigned
Feb 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401013093 MI Primary

Addresses

Primary practice location

1444 Michigan St NE Ste 7
Grand Rapids, MI 49503-2028

Mailing address

805 Leonard St NE
Grand Rapids, MI 49503-1138

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajansma@birchwoodcounselingservices.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401013093MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Birchwood Counseling Services LLC Professional CurrentSince Jan 12, 2020 Accepting new patients
D.a. Blodgett - St. John'S Past Accepting new patients
D a Blodgett-St Johns PastSince Oct 10, 2015 Accepting new patients

Locations

1444 Michigan St NE
Ste 7
Grand Rapids, MI 49503
Phone (248) 894-8421

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1477944692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 LEONARD ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 MICHIGAN ST NE STE 7",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032028",
            "telephone_number": "248-894-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSMA",
        "first_name": "ASHLEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajansma@birchwoodcounselingservices.com",
            "affiliation": "N",
            "address_1": "1444 Michigan St NE Ste 7",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495032028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 10, 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.