Active NPI
Joe Martino Counseling Grandville
- Mental Health Counselor
- Grand Rapids, MI
National Provider Identifier
1598119414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401015296
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryNPI 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.