Organization Active NPI

Healing Place Counseling PLLC

  • Professional Counselor
  • Norton Shores, MI
National Provider Identifier
1730572777
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HEALING PLACE COUNSELING PLLC
Practice address
800 E Ellis Rd Ste 111
Norton Shores, MI 49441-5622
Phone
(231) 288-6591
Fax
(231) 354-3517
NPI assigned
Mar 16, 2015
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Dawn M Wilburn, LPCNPI 1477944536
Title
Therapist
Phone
(231) 288-6591

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

800 E Ellis Rd Ste 111
Norton Shores, MI 49441-5622

Mailing address

800 E Ellis Rd Ste 111
Norton Shores, MI 49441-5622
Phone (231) 288-6591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240810000224 MI Part B Supplier - Clinic/Group Practice 6709324650 Receives reassigned benefits from 5 practitioners
Practice locations: Grand Haven, MI; Norton Shores, MI

National Provider Directory

National Provider Directory

Locations

235 Fulton Ave
Grand Haven, MI 49417
Phone (231) 288-6591

4265 Grand Haven Rd
Ste 106A
Norton Shores, MI 49441

800 E Ellis Rd
Ste 111
Norton Shores, MI 49441
Phone (231) 288-6591

Practitioners & affiliated clinicians

Practitioners 5

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": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1730572777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E ELLIS RD STE 111",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415622",
            "telephone_number": "231-288-6591",
            "fax_number": "231-354-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E ELLIS RD STE 111",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415622",
            "telephone_number": "231-288-6591",
            "fax_number": "231-354-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PLACE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "WILBURN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "231-288-6591",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.

Verify at the official NPI Registry.