Michael Walton, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401015482 Issued in MI

Practice address

3424 Chicago Dr Ste 205
Hudsonville, MI 49426-1411

Phone

(616) 426-9034

NPI assigned

Jun 22, 2016

Last updated

Dec 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Second Story Counseling II LLC

  • Counselor
  • Hudsonville, MI
  • NPI 1013460716
  Authorized official Same address or phone

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1730530569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 CHICAGO DR STE 205",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261411",
            "telephone_number": "616-426-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 CHICAGO DR STE 205",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261411",
            "telephone_number": "616-426-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "MICHAEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730530569",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael T Vollink, OD
• Amanda Grace Vollmer, LMSW
• Kayla Jane Vredeveld, PA-C
• Maria Walcott, R.D.
• Robert H Walt, OD
• Wayne A Ward, PT
• Michelle Way, PAC
• West Michigan Heart
• West Michigan in Home Care
• Michelle L Weston, NURSE PRACTITIONER

• Professional Counselor in Hudsonville, MI
• Providers in Hudsonville, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.