Real Talk Therapy PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

REAL TALK THERAPY PLLC

Practice address

6255 28TH St. SE
Suite 3, Offices C&D
Grand Rapids, MI 49546

Phone

(231) 286-2355

NPI assigned

Aug 24, 2023

Organization subpart

No

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

Authorized official

Name

Nicholas Mark Lange, LPC/LMFTNPI 1083122147

Title

Licensed Professional Counselor

Phone

(231) 286-2355

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Nicholas Mark Lange, LPC/LMFT

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1083122147
  NPD Authorized official

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1770367237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 OAK MEADOW DR",
            "city": "MIDDLEVILLE",
            "state": "MI",
            "postal_code": "493338478",
            "telephone_number": "231-286-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 28TH ST. SE",
            "address_2": "SUITE 3, OFFICES C&D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "231-286-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL TALK THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "231-286-2355",
        "authorized_official_credential": "LPC/LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew M Ready, LMSW
• Megan Ready, DPT
• Justin Michael Reagan, MD
• Chad Philip Reagh, M.A., L.L.P.C.
• Real Life Living Services, Inc
• Realism Is Loyalty
• Alexandra Paige Ream
• Dawn Ream
• Claire M Reame, PA-C
• Jessica Ann Reams, PT, DPT

• Professional Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.