Justyne Ortquist

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401018810 Issued in MI

Practice address

781 Kenmoor Ave SE Ste C
Grand Rapids, MI 49546-8624

Phone

(616) 638-7408

NPI assigned

Apr 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Authenticity Recovery LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1295618635
  NPD Authorized official
• Larson DBT Counseling Services PLLC

  • Counseling Psychologist
  • Caledonia, MI
  • NPI 1043775729
  NPD (past)

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1679007637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 KENMOOR AVE SE STE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468624",
            "telephone_number": "616-638-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 KENMOOR AVE SE STE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468624",
            "telephone_number": "616-638-7408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "995 Willagillespie Rd",
            "address_2": "#200",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012186",
            "country_code": "US",
            "telephone_number": "541-246-7263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2944 Fuller Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495053784",
            "country_code": "US",
            "telephone_number": "616-443-6909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTQUIST",
        "first_name": "JUSTYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006765",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401018810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Leonard Ortiz, M.D.
• Eduardo Ortiz Jr., MD
• Jennifer Ortiz
• Juan Fernando Ortiz, MD
• Nayrobis Ortiz
• Abigail Deborah Ortwine
• Allyson Orvis, PA-C
• Drue Maureen Orwig, D.O.
• Hannah Elizabeth Orzol
• Holly Osbeck, LMSW

• All providers in Grand Rapids, MI
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.