Raybrook Counseling Group LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401007799 Issued in MI

Legal business name

RAYBROOK COUNSELING GROUP LLC

Practice address

2020 Raybrook St SE
Suite 104-a
Grand Rapids, MI 49546-7717

Phone

(616) 977-5200

Fax

(866) 721-6199

NPI assigned

Apr 4, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Ellen Rae Bertling-Safford, MA, LPC

Title

Owner/Executive Director

Phone

(616) 977-5200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1861665473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 RAYBROOK ST SE",
            "address_2": "SUITE 104-A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467717",
            "telephone_number": "616-977-5200",
            "fax_number": "866-721-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 RAYBROOK ST SE",
            "address_2": "SUITE 104-A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467717",
            "telephone_number": "616-977-5200",
            "fax_number": "866-721-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYBROOK COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "BERTLING-SAFFORD",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-977-5200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401007799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Ray, DPT
• Jenna Lynn Ray, PA-C
• Madison Ray, D.O.
• Rebekah Grace Ray, RDN
• Bianca Rayas
• Raye Counseling LLC
• Jennifer Raye, MA, LPC
• Jordan Marie Rayl, BT
• Raymond Herzog Ma LLP
• Taylor E. Raymond

• 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 Apr 4, 2008; 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.