Childress Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CHILDRESS COUNSELING PLLC

Practice address

4565 Wilson Ave SW Ste 3a
Grandville, MI 49418-2371

Phone

(616) 466-3107

NPI assigned

Aug 6, 2018

Organization subpart

No

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

Authorized official

Name

Kim M Childress, LLPCNPI 1124410808

Title

Sole Member

Phone

(616) 466-3107

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kim Michelle Childress

  • Professional Counselor
  • Kentwood, MI
  • NPI 1124410808
  NPD Authorized official

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1689152225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 36TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495122810",
            "telephone_number": "616-304-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 WILSON AVE SW STE 3A",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182371",
            "telephone_number": "616-466-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRESS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "616-466-3107",
        "authorized_official_credential": "LLPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Wiersema LMSW, LLC
• Deborah Chen, LAC
• Gina Kathleen Chesla, OTR
• Jessica Ann Cheslek
• Joseph Michael Chiaramonte Jr., ATC
• Bradley Christiansen, DPM
• Holly Cieslinski, OTRL
• Brian Lee Cilla, DDS MS
• Emily Cin
• Althea Rose Clarey-Schultz

• Professional Counselor in Grandville, MI
• Providers in Grandville, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.