Goodwill Industries of West Michigan

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GOODWILL INDUSTRIES OF WEST MICHIGAN

Practice address

271 E. Apple Avenue
Muskegon, MI 49442-3408

Phone

(231) 722-7871

Fax

(231) 728-6408

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Stephanie D. Larson, MA, LLPC

Title

Vocational Rehabilitational Manager

Phone

(231) 722-7871

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1659519205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 E APPLE AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423408",
            "telephone_number": "231-722-7871",
            "fax_number": "231-728-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 E. APPLE AVENUE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423408",
            "telephone_number": "231-722-7871",
            "fax_number": "231-728-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF WEST MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "VOCATIONAL REHABILITATIONAL MANAGER",
        "authorized_official_telephone_number": "231-722-7871",
        "authorized_official_credential": "MA, LLPC"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Gonzalez, PHARMD
• Diane M Goodman
• Anissa Frances Goodno, LBSW
• Jennifer Goodrich
• Darl Andrew Goodspeed, PA-C
• Goodwill Optical Inc
• Goodwill Optical Inc
• David Alan Goran, MD
• Laura Grace Gordon
• Sydney Gordon

• Developmentally Disabled Services Day Training Agency in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Developmentally Disabled Services Day Training Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.