NPIMap

Organization Active NPI

North Kent Guidance Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenville, MI
National Provider Identifier
1790799542
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORTH KENT GUIDANCE SERVICES LLC
Practice address
106 S Greenville West Drive
North Kent Guidance Services
Greenville, MI 48838
Phone
(616) 754-2364
Fax
(616) 361-2166
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marianne Skilling
Title
Assistant Director
Phone
(616) 361-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

106 S Greenville West Drive
North Kent Guidance Services
Greenville, MI 48838

Mailing address

5250 Northland Drive Suite a
North Kent Guidance Services LLC
Grand Rapids, MI 49525-1040
Phone (616) 361-5001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312000447 MI Part B Supplier - Clinic/Group Practice 5193614642 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Greenville, MI; Oscoda, MI; Grand Rapids, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

106 S Greenville West Dr
Greenville, MI 48838
Phone (616) 754-2364

Practitioners & affiliated clinicians

Practitioners 7

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790799542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 NORTHLAND DRIVE SUITE A",
            "address_2": "NORTH KENT GUIDANCE SERVICES LLC",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251040",
            "telephone_number": "616-361-5001",
            "fax_number": "616-361-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S GREENVILLE WEST DRIVE",
            "address_2": "NORTH KENT GUIDANCE SERVICES",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "48838",
            "telephone_number": "616-754-2364",
            "fax_number": "616-361-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH KENT GUIDANCE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKILLING",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "616-361-5001"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

  • 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.
  • 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.