Active NPI
Jim E Houseman, CSW
- Counselor
- Grand Rapids, MI
National Provider Identifier
1497963201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401009637
- Practice address
- 1773 Woodside TRL NW
Grand Rapids, MI 49504-2580 - Phone
- (616) 453-1835
- Fax
- (616) 453-1725
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Psychologist
- Caledonia, MI
- NPI 1154478089
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009637 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Counseling Group LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401009637 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1773 Woodside TRL NW
Grand Rapids, MI 49504-2580
Mailing address
9021 N Rodgers CT SE
Suite C
Caledonia, MI 49316-7649
Phone (616) 891-2100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497963201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9021 N RODGERS CT SE",
"address_2": "SUITE C",
"city": "CALEDONIA",
"state": "MI",
"postal_code": "493167649",
"telephone_number": "616-891-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1773 WOODSIDE TRL NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495042580",
"telephone_number": "616-453-1835",
"fax_number": "616-453-1725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSEMAN",
"first_name": "JIM",
"middle_name": "E",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401009637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.