Andersen Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801096051 Issued in MI

Legal business name

ANDERSEN COUNSELING SERVICES, LLC

Practice address

236 Homer LN
Coopersville, MI 49404-1148

Phone

(616) 889-6602

NPI assigned

Feb 4, 2015

Last updated

Feb 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Desiree AndersenNPI 1487031258

Title

Therapist

Phone

(616) 723-7011

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Desiree Andersen

  • Clinical Social Worker
  • Grandville, MI
  • NPI 1487031258
  Authorized official Same address or phone

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1881084333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 WILSON AVE SW",
            "address_2": "STE 4A",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 HOMER LN",
            "city": "COOPERSVILLE",
            "state": "MI",
            "postal_code": "494041148",
            "telephone_number": "616-889-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSEN COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "616-723-7011"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Lynn Allen
• April Alt, OTRL
• Drew Amstutz, DPT
• Marlene Arthur
• Jill Michelle Banka, PTA
• Shanae Bartlett, NP-C
• Baruch SLS, Inc. (Fountain View Assisted Living - Laboratory)
• Baruch SLS, Inc. (FountainView Assisted Living)

• Clinical Social Worker in Coopersville, MI
• Providers in Coopersville, 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 Feb 4, 2015; 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.