Northern Light Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NORTHERN LIGHT COUNSELING PLLC

Practice address

499 Century LN Ste 50
Holland, MI 49423-4393

Phone

(616) 326-2564

Fax

(855) 256-6084

NPI assigned

Nov 7, 2018

Organization subpart

No

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

Authorized official

Name

Jill Bawks, LMSW

Title

Owner

Phone

(616) 326-2564

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1871061911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 CENTURY LN STE 50",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234393",
            "telephone_number": "616-326-2564",
            "fax_number": "855-256-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 CENTURY LN STE 50",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234393",
            "telephone_number": "616-326-2564",
            "fax_number": "855-256-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHT COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "BAWKS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-326-2564",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932520053",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Noorman
• Bradley J Norden, CRNA
• Heather Norden, FNP, PMHNP
• John P Norder, LMSW
• Laura Norder, FNP-C
• Northwood Foot & Ankle Center PC
• Northwood Foot and Ankle Center, PC
• Delaney Norton, LLMSW
• Lynn Mae Nowak, RPH
• Emma Lynnae Nowakowski

• Clinical Social Worker in Holland, MI
• Providers in Holland, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.