Colby Austin-Johnson Whitaker

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851120660 Issued in MI

Practice address

4829 E Beltline Ave NE Ste 101
Grand Rapids, MI 49525-9349

Phone

(616) 209-8215

NPI assigned

Aug 22, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Counseling Center of West Michigan, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1437610730
  NPD (past)

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1790663359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 ROSEWATER DR NE UNIT 220",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259349",
            "telephone_number": "616-209-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "COLBY",
        "middle_name": "AUSTIN-JOHNSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851120660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Rose Wheland
• Nicole R Whetstone
• Margaret Elizabeth Whicker, M.D.
• Tara Whipkey
• Monica Jo Whipple
• Elizabeth Anne Whitaker, OTRL
• Kelly Kay Whitaker, NP
• Kelsey Whitcomb, OD
• Mary R Whitcomb, LLMSW
• Carlee Michelle Whitcome, LMSW

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.