Organization Active NPI

Wendy Elzinga Ma LLP, PLLC

  • Counseling Psychologist
  • Grand Haven, MI
National Provider Identifier
1568737195
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301013611 Issued in MI
Legal business name
WENDY ELZINGA MA LLP, PLLC
Practice address
120 S 5TH St
Grand Haven, MI 49417-1410
Phone
(616) 510-6650
NPI assigned
Mar 15, 2012
Last updated
Mar 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Brenda Snellenberger
Title
Medical Biller
Phone
(616) 935-0747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6301013611 MI Primary

Addresses

Primary practice location

120 S 5TH St
Grand Haven, MI 49417-1410

Mailing address

120 S 5TH St
Grand Haven, MI 49417-1410
Phone (616) 510-6650

Other identifiers 1

IdentifierTypeStateIssuer
1336304484OtherMIINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1568737195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S 5TH ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171410",
            "telephone_number": "616-510-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S 5TH ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171410",
            "telephone_number": "616-510-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY ELZINGA MA LLP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "SNELLENBERGER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "616-935-0747"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301013611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1336304484",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.