Wedgwood Christain Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WEDGWOOD CHRISTAIN SERVICES

Practice address

3300 36TH St SE
Grand Rapids, MI 49512-2810

Phone

(616) 559-5835

Fax

(616) 281-6448

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert Gerard Johnson Sr., LPC

Title

Therapist

Phone

(616) 559-5835

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750414827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8117 CRESTVIEW AVE",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289124",
            "telephone_number": "616-706-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 36TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495122810",
            "telephone_number": "616-559-5835",
            "fax_number": "616-281-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDGWOOD CHRISTAIN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "616-559-5835",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDICTION COUNSELOR",
            "identifier": "100594",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR",
            "identifier": "6401008579",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• L. Renee Webster, R.D.
• Rachel Webster, PHARMD
• Stephen T. Webster, M.D.
• Kyle Weck, PT, DPT
• Mark Winfield Wedder, DO
• Wedgwood Christian Services
• Brittany Weeda, PA-C
• Darryl S Weekley, LMSW, ACSW, CAADC
• Taylor Weekley
• Erin Weeks, LMSW

• Community/Behavioral Health Agency in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.