Calvin Christian Reformed Church

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CALVIN CHRISTIAN REFORMED CHURCH

Practice address

387 W Lakewood Blvd
Holland, MI 49424-1912

Phone

(810) 417-6281

NPI assigned

Apr 28, 2021

Organization subpart

No

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

Authorized official

Name

Mr. David SpoelmaNPI 1073196028

Title

Counselor

Phone

(810) 417-6281

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Calvin Christian Reformed Church Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

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

• David Lee Spoelma

  • Professional Counselor
  • Holland, MI
  • NPI 1073196028
  NPD Authorized official

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1699358655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N CALVIN ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241928",
            "telephone_number": "810-417-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 W LAKEWOOD BLVD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241912",
            "telephone_number": "810-417-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVIN CHRISTIAN REFORMED CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "SPOELMA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "810-417-6281",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6401019213",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pd@foundationchurchonline.org",
            "affiliation": "N",
            "address_1": "387 W Lakewood Blvd",
            "city": "Holland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494241912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Calvin Christian Reformed Church",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eric J Bylsma
• Karen A Bylsma, LCSW
• Marta Byma, DNP
• Alicia Cadena, LMSW
• Calm in the Storm Counseling
• Danielle Leigh Cambell
• Alicia Camp, LMFT
• Carissa Jean Campbell, PHARMD, MBA
• Joshua Campbell
• Richard Campbell, LMSW, CAADC, ADS

• Community/Behavioral Health Agency in Holland, MI
• Providers in Holland, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.