Individual provider Active NPI

Mindi Michele Hommerding, MA, LLPC

  • Mental Health Counselor
  • Battle Creek, MI
National Provider Identifier
1528637535
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401019433 Issued in MI
Practice address
4625 Beckley Rd Ste 300
Battle Creek, MI 49015-7944
Phone
(269) 979-8119
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401019433 MI Primary

Addresses

Primary practice location

4625 Beckley Rd Ste 300
Battle Creek, MI 49015-7944

Mailing address

4625 Beckley Rd Ste 300
Battle Creek, MI 49015-7944
Phone (269) 979-8119

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@christiancounselingbc.net Direct

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401019433MIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1528637535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 BECKLEY RD STE 300",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157944",
            "telephone_number": "269-979-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 BECKLEY RD STE 300",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157944",
            "telephone_number": "269-979-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMMERDING",
        "first_name": "MINDI",
        "middle_name": "MICHELE",
        "credential": "MA, LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401019433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@christiancounselingbc.net",
            "affiliation": "N",
            "endpointDescription": "General email to CCCBC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Counseling Center",
            "address_1": "4625 Beckley Rd Ste 300",
            "city": "Battle Creek",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490157944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.