NPIMap

Organization Active NPI

West Michigan Therapy Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Muskegon, MI
National Provider Identifier
1699981498
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
610022 Issued in MI
Legal business name
WEST MICHIGAN THERAPY INC
Practice address
130 E Apple Ave
Muskegon, MI 49442-3405
Phone
(231) 728-2138
NPI assigned
May 16, 2007
Last updated
Feb 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Mr. Louis Churchwell, BS, CACII, ICA, C-2NPI 1841693025
Title
Chief Executive Officer
Phone
(231) 728-2138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 610050 MI
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 610022 MI Primary

Addresses

Primary practice location

130 E Apple Ave
Muskegon, MI 49442-3405

Mailing address

130 E Apple Ave
Muskegon, MI 49442-3405
Phone (231) 728-2138

National Provider Directory

National Provider Directory
Tax ID family
West Michigan Therapy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

130 E Apple Ave
Muskegon, MI 49442
Phone (231) 728-2138

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1699981498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E APPLE AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423405",
            "telephone_number": "231-728-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E APPLE AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494423405",
            "telephone_number": "231-728-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "CHURCHWELL",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "231-728-2138",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, CACII, ICA, C-2"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MI",
            "license": "610050",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MI",
            "license": "610022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.