Laura Meeker Wicksall Therapy PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LAURA MEEKER WICKSALL THERAPY PLLC

Practice address

1430 Robinson Rd SE Ste 206
Grand Rapids, MI 49506-1780

NPI assigned

Nov 7, 2018

Last updated

Nov 7, 2018By 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

Laura Meeker WicksallNPI 1710390372

Title

Owner/Therapist

Phone

(231) 499-1063

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Laura Meeker Wicksall, LMSW

  • Social Worker
  • Grand Rapids, MI
  • NPI 1710390372
  Authorized official Same address or phone

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1497223424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 ROBINSON RD SE STE 206",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061780",
            "telephone_number": "616-438-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 ROBINSON RD SE STE 206",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Robinson Rd SE Ste 206",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495061780",
            "country_code": "US",
            "telephone_number": "616-438-6054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAURA MEEKER WICKSALL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "WICKSALL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MEEKER",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "231-499-1063"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1710390372",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Patrick Laughlin, MD
• Sadie Rae Laughlin
• Anna Lauka
• Laura Hockenberry Gardner
• Laura L. Fogle, D.D.S., M.S., P.C.
• Tyler Jamal Laurel, DDS, MA
• Arthur Gregory Laurell, MD
• Lauren Bonnell Ma MLP PLLC
• Lauren Puckett Counseling PLLC (Enduring Hope Counseling)
• Candace Laurencin

• Mental Health Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.