Individual provider Active NPI

Theodore J Wohlford, LPC, LMFT, NCC

  • Professional Counselor
  • Greenville, MI
National Provider Identifier
1649783499
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401014910 Issued in MI
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

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105001775 MI Practitioner - Mental Health Counselor 2961853767 Reassigns benefits to 1 organization

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
Counseling Center of West Michigan LLCGroup PAC ID 9234469255, 154 clinicians

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

LicenseStateTypeSpecialty
6401014910MIMDCounselor
4101006847MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Virtuwell Therapy, LLC CurrentSince Feb 4, 2024 Accepting new patients
Wohlford Counseling LLC Counselor CurrentSince Oct 1, 2019 Accepting new patients
Counseling Center of West Michigan, LLC CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.