LLC Behavior Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C-00112 Issued in MI

Legal business name

LLC BEHAVIOR SERVICES

Doing business as

LLC Behavior Services

Practice address

1960 Millbrook St SE
Grand Rapids, MI 49508-2636

Phone

(616) 633-3700

Fax

(616) 633-3700

NPI assigned

Feb 1, 2018

Last updated

Jun 16, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

HARD PHILOSPHER MINISTRIESAs reported in NPPES

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

Authorized official

Name

Mr. Larry Mitchell, MA CAADC SPADANPI 1649779927

Title

Executive Director Program Manager

Phone

(616) 723-5071

Specialties & licenses 4

Addresses

Other names 3

• LLC Behavior Services Doing business as
• Hard Philosopher Ministries Other name
• Larry Mitchell Other name

Tax ID family

Hard Philosopher Ministries3 organizations share this tax ID, including this one

Part of

Hard Philosopher Ministries

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Hard Philosopher Ministries

  dba LLC Behavior Services

  • Addiction (Substance Use Disorder) Counselor
  • Grand Rapids, MI
  • NPI 1841799087
  NPD tax ID
• LLC Behavior Services

  • Addiction (Substance Use Disorder) Counselor
  • Grand Rapids, MI
  • NPI 1972002111
  NPD tax ID

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.

• Larry Mitchell, MA CAADC SPADA

  • Addiction (Substance Use Disorder) Counselor
  • Grand Rapids, MI
  • NPI 1649779927
  Authorized official Same address or phone

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1558860833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 MILLBROOK ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495082636",
            "telephone_number": "616-723-5071",
            "fax_number": "201-849-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 MILLBROOK ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495082636",
            "telephone_number": "616-633-3700",
            "fax_number": "616-633-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLC BEHAVIOR SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARD PHILOSPHER MINISTRIES",
        "enumeration_date": "2018-02-01",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR PROGRAM MANAGER",
        "authorized_official_telephone_number": "616-723-5071",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA CAADC SPADA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-00112",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": "6803085788",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "C-00112",
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": "C-00112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC Behavior Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hard Philosopher Ministries",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Larry Mitchell",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.