Organization Active NPI

Pivot Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Zeeland, MI
National Provider Identifier
1710562822
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PIVOT COUNSELING, PLLC
Practice address
440 S State St Ste 320
Zeeland, MI 49464-2250
Phone
(616) 422-7820
NPI assigned
Mar 10, 2021
Last updated
Jun 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Kris Pence, LPC
Title
Clinical Director
Phone
(616) 422-7820

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

440 S State St Ste 320
Zeeland, MI 49464-2250

Mailing address

440 S State St Ste 320
Zeeland, MI 49464-2250
Phone (616) 422-7820

National Provider Directory

National Provider Directory

Locations

440 S State St
Ste 320
Zeeland, MI 49464
Phone (616) 422-7820

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": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1710562822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 S STATE ST STE 320",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494642250",
            "telephone_number": "616-422-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S STATE ST STE 320",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494642250",
            "telephone_number": "616-422-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOT COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "PENCE",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "616-422-7820",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.