Organization Active NPI

Rebuild and Restore Counceling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hudsonville, MI
National Provider Identifier
1588599740
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
REBUILD AND RESTORE COUNCELING, LLC
Practice address
3872 Sundial Ave
Hudsonville, MI 49426-8423
Phone
(616) 550-8619
NPI assigned
Jun 17, 2026
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Mrs. Denise Ann Boldt, LPCNPI 1013452465
Title
Counselor
Phone
(616) 550-8619

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3872 Sundial Ave
Hudsonville, MI 49426-8423

Mailing address

3872 Sundial Ave
Hudsonville, MI 49426-8423
Phone (616) 550-8619

Other practice location 1

4415 Byron Center Ave SW
Wyoming, MI 49519-4800
Phone (616) 550-8619

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, 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": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1588599740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3872 SUNDIAL AVE",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268423",
            "telephone_number": "616-550-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3872 SUNDIAL AVE",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268423",
            "telephone_number": "616-550-8619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4415 Byron Center Ave SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495194800",
            "country_code": "US",
            "telephone_number": "616-550-8619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REBUILD AND RESTORE COUNCELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "BOLDT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "616-550-8619",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudsonville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.