Linda Sue Haveman, PH.D., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401011380 Issued in MI

Practice address

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

Phone

(616) 530-2224

Fax

(616) 825-6164

NPI assigned

Jun 12, 2009

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

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 and National Provider Directory roles.

• Encourage Institute for Teaching and Learning, LLC

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1669850343
  NPD (past)

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1861629263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 RAIN TREE AVE",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268481",
            "telephone_number": "616-862-9828"
        },
        {
            "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": "HAVEMAN",
        "first_name": "LINDA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Hauschild
• Nathalie Gabrielle Hautala, MSN, FNP-BC
• Bradley J Haveman-Gould, PA-C
• Susan Jane Haveman-Kruyf, AUD
• Jessica Marie Haveman
• Ashley Havemeier, COTA/L
• Haven Alliance
• Haven Spine & Pain Center PLLC
• Christina Haven
• Caitlin Haverdink

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.