Mary S Rozendal, PH.D., ET/P

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3260 Eagle Park Dr NE
Suite 117
Grand Rapids, MI 49525-4569

Phone

(616) 530-2224

Fax

(616) 825-6164

NPI assigned

Apr 24, 2015

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

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Encourage Institute for Teaching and Learning, LLC

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1669850343
  NPD Authorized official

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1841687084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 EAGLE PARK DR NE",
            "address_2": "SUITE 117",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254569",
            "telephone_number": "616-530-2224",
            "fax_number": "616-825-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 EAGLE PARK DR NE",
            "address_2": "SUITE 117",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254569",
            "telephone_number": "616-530-2224",
            "fax_number": "616-825-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZENDAL",
        "first_name": "MARY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D., ET/P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Danelle Rozema, PA
• Ellie E Rozema
• Hannah Rozema, BS
• Jennifer Rozema
• Susanna Joy Rozema
• Patrice Rozycki, R.D.
• RPN Enterprises LLC
• Kayla Marie Ruano, LMSW
• James Paul Ruark, LBSW
• Mackenzie Ann Ruba, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.