Active NPI
GR Family Therapy PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grand Rapids, MI
National Provider Identifier
1689232027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- GR FAMILY THERAPY PLLC
- Practice address
- 401 Hall St SE
Grand Rapids, MI 49507-1845 - Phone
- (616) 438-3861
- NPI assigned
- May 31, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Marie Grandy, LPC, LLMFT
- Title
- Owner
- Phone
- (616) 438-3861
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
401 Hall St SE
Grand Rapids, MI 49507-1845
Mailing address
1900 Union Ave SE
Grand Rapids, MI 49507-2660
Phone (616) 438-3861
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1689232027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 UNION AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495072660",
"telephone_number": "616-438-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 HALL ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495071845",
"telephone_number": "616-438-3861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GR FAMILY THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-31",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "GRANDY",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-438-3861",
"authorized_official_credential": "LPC, LLMFT"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.