Active NPI
Sisu Counseling and Wellness LLC
- Adult Mental Health Clinic/Center
- Grand Rapids, MI
National Provider Identifier
1720743602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- SISU COUNSELING AND WELLNESS LLC
- Practice address
- 800 Monroe Ave NW
Grand Rapids, MI 49503-1445 - Phone
- (989) 313-1620
- NPI assigned
- Nov 4, 2021
- 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
- Teresa R Miller, LPC
- Title
- Professional Counselor
- Phone
- (989) 313-1620
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
800 Monroe Ave NW
Grand Rapids, MI 49503-1445
Mailing address
2110 Monroe Ave NW
Grand Rapids, MI 49505-4046
Phone (989) 313-1620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
800 Monroe Ave NW
Grand Rapids, MI 49503
Phone (616) 232-6772
800 Monroe Ave NW
Ste 320
Grand Rapids, MI 49503
Phone (616) 558-6295
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": "1635984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754265600000",
"number": "1720743602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 MONROE AVE NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495054046",
"telephone_number": "989-313-1620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MONROE AVE NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031445",
"telephone_number": "989-313-1620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SISU COUNSELING AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-04",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "989-313-1620",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.