Breanna Vouaux, LLMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6851110011 Issued in MI

Practice address

4565 Wilson Ave SW Ste 4a
Grandville, MI 49418-2371

Phone

(616) 591-9400

NPI assigned

Dec 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1679285142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 WESTOWN DR NW APT 306",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495343725",
            "telephone_number": "989-890-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 WILSON AVE SW STE 4A",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182371",
            "telephone_number": "616-591-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOUAUX",
        "first_name": "BREANNA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6851110011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Visser
• Leslie Robin Visser, MA, LLP
• Johanna Vogel
• Michael David Voiles, PA
• Mary Lynn Vos
• Grace Anne Vroom
• Sydney Cathrine Wagner
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Sophie Waldvogel

• Mental Health Counselor in Grandville, MI
• Providers in Grandville, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.