NPIMap

Organization Active NPI

Laina Wirgau

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
National Provider Identifier
1669815650
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
680194489 Issued in MI
Legal business name
LAINA WIRGAU
Practice address
6157 Woodfield PL SE Apt 9
Grand Rapids, MI 49548-8585
Phone
(616) 558-5531
NPI assigned
Apr 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Miss Laina Wirgau, LLMSW
Title
Therapist
Phone
(616) 558-5531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 680194489 MI Primary

Addresses

Primary practice location

6157 Woodfield PL SE Apt 9
Grand Rapids, MI 49548-8585

Mailing address

1115 Ball Ave NE BLDG a
Grand Rapids, MI 49505-5904
Phone (616) 558-5531

National Provider Directory

National Provider Directory

Locations

1115 Ball Ave NE
Bldg A
Grand Rapids, MI 49505
Phone (616) 456-7775

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1669815650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 BALL AVE NE BLDG A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055904",
            "telephone_number": "616-558-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6157 WOODFIELD PL SE APT 9",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495488585",
            "telephone_number": "616-558-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAINA WIRGAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "WIRGAU",
        "authorized_official_first_name": "LAINA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "616-558-5531",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "680194489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 26, 2013; 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.