Organization Active NPI

Joe Martino Counseling Grandville

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1598119414
Registry record updated Apr 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401015296 Issued in MI
Legal business name
JOE MARTINO COUNSELING GRANDVILLE
Practice address
2305 East Paris Ave SE Ste 203
Grand Rapids, MI 49546-2426
Phone
(616) 481-3784
Fax
(866) 496-2998
NPI assigned
Apr 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2016

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

Authorized official

Name
Erica Martino, B.A.
Title
Office Manager
Phone
(616) 929-0226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 6401015296 MI Primary

Addresses

Primary practice location

2305 East Paris Ave SE Ste 203
Grand Rapids, MI 49546-2426

Mailing address

3181 Prairie St SW
Grandville, MI 49418-2097
Phone (616) 481-3784

Other names 1

  • Joe Martino Counseling Network Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460851200000",
    "number": "1598119414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 PRAIRIE ST SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182097",
            "telephone_number": "616-481-3784",
            "fax_number": "866-496-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 EAST PARIS AVE SE STE 203",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462426",
            "telephone_number": "616-481-3784",
            "fax_number": "866-496-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE MARTINO COUNSELING GRANDVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-17",
        "last_updated": "2016-04-17",
        "status": "A",
        "authorized_official_last_name": "MARTINO",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "616-929-0226",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joe Martino Counseling Network",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 17, 2016; 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.