NPIMap

Organization Active NPI

Bryan Nixon Counseling, LLC

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1780021733
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401012317 Issued in MI
Legal business name
BRYAN NIXON COUNSELING, LLC
Practice address
985 Parchment Dr SE
Grand Rapids, MI 49546-3659
Phone
(616) 425-2412
NPI assigned
May 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Authorized official

Name
Bryan J Nixon, LPC
Title
Owner/Counselor Professional
Phone
(616) 881-1464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 6401012317 MI Primary

Addresses

Primary practice location

985 Parchment Dr SE
Grand Rapids, MI 49546-3659

Mailing address

985 Parchment Dr SE
Grand Rapids, MI 49546-3659
Phone (616) 425-2412

Other names 1

  • Mindful Counseling GR Doing business as

National Provider Directory

National Provider Directory

Locations

741 Kenmoor Ave SE
Ste B
Grand Rapids, MI 49546
Phone (616) 202-8240

985 Parchment Dr SE
Grand Rapids, MI 49546
Phone (616) 219-0437

Practitioners & affiliated clinicians

Practitioners 4

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": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1780021733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PARCHMENT DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463659",
            "telephone_number": "616-425-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 PARCHMENT DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463659",
            "telephone_number": "616-425-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN NIXON COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/COUNSELOR PROFESSIONAL",
        "authorized_official_telephone_number": "616-881-1464",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Counseling GR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 20, 2022; 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.