Mary Ann Shuman, LPC LICENSED PROFESS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401005831 Issued in MI

Practice address

2976 Ivanrest
Suite 205
Grandville, MI 49418-1440

Phone

(616) 690-0500

Fax

(616) 261-3047

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Mary Ann Hoekstra Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609090612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1693 SLATER AVE",
            "city": "DORR",
            "state": "MI",
            "postal_code": "493239332",
            "telephone_number": "616-681-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2976 IVANREST",
            "address_2": "SUITE 205",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181440",
            "telephone_number": "616-690-0500",
            "fax_number": "616-261-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LPC LICENSED PROFESS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401005831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPREHENSIVE BEHAVIORAL",
            "identifier": "SHUMA0003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "563928",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HOEKSTRA",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charu Sharma
• Marrissa L Sheehy, LPN
• Sheeran Chiropractic, P.L.L.C.
• Patrick John Sheeran, D.C.
• Anton T Sheridan
• Samantha Shump, LPC
• Sandy L Sian
• Richard Sieting
• Andrea Leigh Simon
• Rachel Sheridan Sinacola, D.D.S., M.S.

• Professional Counselor in Grandville, MI
• Providers in Grandville, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.