Michael W Elgersma

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MICHAEL W ELGERSMA

Doing business as

Elgersma Counseling Services

Practice address

262 Chatsworth Ave
Sugar Grove, IL 60554-9475

Phone

(616) 644-1314

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

Nichael W Elgersma

Title

LCPC

Phone

(616) 644-1314

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Elgersma Counseling Services Doing business as

Electronic endpoints 1

Practitioners 1

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

• Michael William Elgersma, LCPC

  • Mental Health Counselor
  • Dekalb, IL
  • NPI 1972946028
  NPD

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635033600000",
    "number": "1710658844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 CHATSWORTH AVE",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549475",
            "telephone_number": "616-644-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 CHATSWORTH AVE",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549475",
            "telephone_number": "616-644-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W ELGERSMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-10-24",
        "certification_date": "2021-10-24",
        "status": "A",
        "authorized_official_last_name": "ELGERSMA",
        "authorized_official_first_name": "NICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "616-644-1314"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972946028",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366023638001",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael@ecounselingservices.org",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ecounselingservices.org",
            "address_1": "262 Chatsworth Ave",
            "city": "Sugar Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605549475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Elgersma Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Raquel Martinez, MSW
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• Bridget McCracken
• Janet Jean Meeks, LCPC
• Patricia C Megchelsen, P.T.
• Minardi Chiropractic PC
• Joseph Minardi, D.C.
• Viral Modi
• Joseph N Mork, PA-C
• Morgan Marie Motley, M.S., BCBA, LBA-IL

• Mental Health Counselor in Sugar Grove, IL
• Providers in Sugar Grove, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.