Active NPI
Theodore J Wohlford, LPC, LMFT, NCC
- Professional Counselor
- Greenville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401014910
- Practice address
- 118 S Greenville West Dr Ste B
Greenville, MI 48838-3554 - Phone
- (616) 805-3660
- Fax
- (616) 805-3631
- NPI assigned
- Nov 14, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401014910 | MI | |
| Marriage & Family Therapist | 106H00000X | 4101006847 | MI | |
| Professional Counselor | 101YP2500X | 6401014910 | MI | Primary |
Addresses
Primary practice location
118 S Greenville West Dr Ste B
Greenville, MI 48838-3554
Mailing address
333 Bridge St NW Ste 1120
Grand Rapids, MI 49504-5356
Phone (616) 805-3660
Other practice location 1
360 E Beltline Ave NE Ste 100
Grand Rapids, MI 49506-1214
Phone (616) 805-3660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
360 E Beltline Ave NE
Suite 100
Grand Rapids, MI 49506-1214
Phone (616) 805-3660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401014910 | MI | MD | Counselor |
| 4101006847 | MI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtuwell Therapy, LLC | Current | Accepting new patients | |
| Wohlford Counseling LLC | Counselor | Current | Accepting new patients |
| Counseling Center of West Michigan, LLC | Current | Accepting new patients |
Locations
8650 Byron Center Ave SW
Ste 19
Byron Center, MI 49315
Phone (616) 536-1938
325 84th St SW
Ste 103
Byron Center, MI 49315
9809 Cherry Valley Ave SE
Ste H
Caledonia, MI 49316
Phone (248) 930-5620
9809 Cherry Valley Ave SE
Ste C
Caledonia, MI 49316
333 Bridge St NW
Ste 1120
Grand Rapids, MI 49504
Phone 61680536601005
360 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (269) 808-7198
118 S Greenville West Dr
Ste B
Greenville, MI 48838
65 S Main St
Ste A
Rockford, MI 49341
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Grand Rapids, MI
- NPI 1437610730
-
- Counselor
- Byron Center, MI
- NPI 1699241356
-
- Mental Health Counselor
- Grand Rapids, MI
- NPI 1871356212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1649783499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 BRIDGE ST NW STE 1120",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495045356",
"telephone_number": "616-805-3660",
"fax_number": "616-805-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 S GREENVILLE WEST DR STE B",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "488383554",
"telephone_number": "616-805-3660",
"fax_number": "616-805-3631"
}
],
"practiceLocations": [
{
"address_1": "360 E Beltline Ave NE Ste 100",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495061214",
"country_code": "US",
"telephone_number": "616-805-3660",
"fax_number": "616-805-3631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOHLFORD",
"first_name": "THEODORE",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "LPC, LMFT, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-14",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401014910",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "4101006847",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401014910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.