Active NPI
Third Coast Counseling & Consultation, LLC
- Mental Health Counselor
- Grand Rapids, MI
National Provider Identifier
1689329120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- THIRD COAST COUNSELING & CONSULTATION, LLC
- Practice address
- 1514 Wealthy St SE Ste 236
Grand Rapids, MI 49506-2755 - Phone
- (616) 328-3756
- Fax
- (616) 284-2133
- NPI assigned
- Feb 14, 2022
- 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
- Melissa J Langley, LPC
- Title
- Principle
- Phone
- (616) 328-3756
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1514 Wealthy St SE Ste 236
Grand Rapids, MI 49506-2755
Mailing address
1514 Wealthy St SE Ste 236
Grand Rapids, MI 49506-2755
Phone (616) 328-3756
National Provider Directory
National Provider DirectoryLocations
1514 Wealthy St SE
Ste 236
Grand Rapids, MI 49506
Phone (616) 328-3756
Practitioners & affiliated clinicians
Practitioners 1
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": "1644796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646092800000",
"number": "1689329120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 WEALTHY ST SE STE 236",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495062755",
"telephone_number": "616-328-3756",
"fax_number": "616-284-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 WEALTHY ST SE STE 236",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495062755",
"telephone_number": "616-328-3756",
"fax_number": "616-284-2133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THIRD COAST COUNSELING & CONSULTATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-14",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A",
"authorized_official_last_name": "LANGLEY",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRINCIPLE",
"authorized_official_telephone_number": "616-328-3756",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"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 Mar 1, 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.