Active NPI
Barbara K Versalle, LLPC
- Professional Counselor
- Norton Shores, MI
National Provider Identifier
1508629668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6451023436
- Practice address
- 800 E Ellis Rd # 567
Norton Shores, MI 49441-5622 - Phone
- (231) 288-6591
- NPI assigned
- Feb 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6451023436 | MI | Primary |
Addresses
Primary practice location
800 E Ellis Rd # 567
Norton Shores, MI 49441-5622
Mailing address
433 Seminole Rd Ste 108
Norton Shores, MI 49444-3743
Phone (231) 638-6367
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 |
|---|---|---|---|
| 6451023436 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1508629668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 SEMINOLE RD STE 108",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494443743",
"telephone_number": "231-638-6367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E ELLIS RD # 567",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494415622",
"telephone_number": "231-288-6591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERSALLE",
"first_name": "BARBARA",
"middle_name": "K",
"credential": "LLPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-01",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6451023436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norton Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.