Active NPI
Glimmer Counseling PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grand Rapids, MI
National Provider Identifier
1851120604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- GLIMMER COUNSELING PLLC
- Practice address
- 1038 59TH St SE
Grand Rapids, MI 49508-6216 - Phone
- (708) 969-6656
- NPI assigned
- Jul 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maija Grisa, LMSW
- Title
- Psychotherapist
- Phone
- (708) 969-6656
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1038 59TH St SE
Grand Rapids, MI 49508-6216
Mailing address
1038 59TH St SE
Grand Rapids, MI 49508-6216
Phone (708) 969-6656
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1649787318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722297600000",
"number": "1851120604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1038 59TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495086216",
"telephone_number": "708-969-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1038 59TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495086216",
"telephone_number": "708-969-6656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLIMMER COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A",
"authorized_official_last_name": "GRISA",
"authorized_official_first_name": "MAIJA",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "708-969-6656",
"authorized_official_credential": "LMSW"
},
"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 Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.