Organization Active NPI

Leigh Ellis Counseling LLC

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1568197473
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LEIGH ELLIS COUNSELING LLC
Doing business as
CONTEMPLATIVE COUNSELING GR
Practice address
1525 Tremont Blvd NW
Grand Rapids, MI 49504-4864
Phone
(616) 648-0441
NPI assigned
Jul 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Leigh EllisNPI 1457953838
Title
Owner
Phone
(616) 648-0441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

1525 Tremont Blvd NW
Grand Rapids, MI 49504-4864

Mailing address

1525 Tremont Blvd NW
Grand Rapids, MI 49504-4864
Phone (616) 648-0441

Other names 1

  • CONTEMPLATIVE COUNSELING GR Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250520001433 MI Part B Supplier - Clinic/Group Practice 0042738387 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1568197473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 TREMONT BLVD NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044864",
            "telephone_number": "616-648-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 TREMONT BLVD NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044864",
            "telephone_number": "616-648-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEIGH ELLIS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-24",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-648-0441"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONTEMPLATIVE COUNSELING GR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.