West Michigan Emdr Therapy and Consulting PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WEST MICHIGAN EMDR THERAPY AND CONSULTING PLLC

Practice address

1034 Lookout RDG
Mesquite, NV 89034-1195

Phone

(616) 920-0823

NPI assigned

Mar 24, 2016

Last updated

Dec 28, 2023By 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

Mary Ellen R Bertling-Safford, LPCNPI 1639330285

Title

Owner

Phone

(616) 920-0823

Specialties & licenses 2

Addresses

Locations

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.

• Mary Ellen Rae Bertling-Safford, MA, LPC

  • Professional Counselor
  • Mesquite, NV
  • NPI 1639330285
  NPD Authorized official

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1508228966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 LOOKOUT RDG",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890341195",
            "telephone_number": "616-920-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 LOOKOUT RDG",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890341195",
            "telephone_number": "616-920-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN EMDR THERAPY AND CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "BERTLING-SAFFORD",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-920-0823",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis L. Wakefield, MSPT
• Ty S Wakefield, MSPT
• Wal-Mart Stores, Inc. (Vision Center 30-3847)
• Walgreen Co (Walgreens # 12646)
• Walmart Inc. (Walmart Pharmacy 10-3847)
• Trevor White, DDS
• Chet S Wier, PH.D
• Samuel Michael Wilde, PHARMD
• Stephanie Wilde
• Williams, Linda M. M. Williams, Linda M.

• Professional Counselor in Mesquite, NV
• Providers in Mesquite, NV by specialty
• Professional Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.