Lakeshore Psychological & Counseling Services, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301011612 Issued in MI

Legal business name

LAKESHORE PSYCHOLOGICAL & COUNSELING SERVICES, PC

Practice address

194 1/2 S River Ave
Holland, MI 49423-3174

Phone

(616) 402-5093

NPI assigned

Jun 17, 2014

Organization subpart

No

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

Authorized official

Name

James Doherty, PSYDNPI 1285641977

Title

Owner

Phone

(616) 464-1747

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• James Patrick Doherty, PSYD

  • Clinical Psychologist
  • Holland, MI
  • NPI 1285641977
  NPD (past) Authorized official

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1487068458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 1/2 S RIVER AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233174",
            "telephone_number": "616-402-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 1/2 S RIVER AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233174",
            "telephone_number": "616-402-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE PSYCHOLOGICAL & COUNSELING SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-464-1747",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lakewood Counseling

• Psychologist in Holland, MI
• Providers in Holland, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.