Organization Active NPI

RLJ Counseling and Psychological

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1881268993
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RLJ COUNSELING AND PSYCHOLOGICAL
Practice address
1500 E Beltline Ave SE Ste 105
Grand Rapids, MI 49506-4361
Phone
(517) 483-2461
NPI assigned
May 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Authorized official

Name
Cathy Gallegos
Title
Credentialing Manager
Phone
(517) 483-2461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1500 E Beltline Ave SE Ste 105
Grand Rapids, MI 49506-4361

Mailing address

1500 E Beltline Ave SE Ste 105
Grand Rapids, MI 49506-4361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241118004072 MI Part B Supplier - Clinic/Group Practice 5597290205 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Locations

1500 E Beltline Ave SE
Ste 105
Grand Rapids, MI 49506
Phone (616) 322-0705

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1881268993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E BELTLINE AVE SE STE 105",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E BELTLINE AVE SE STE 105",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064361",
            "telephone_number": "517-483-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RLJ COUNSELING AND PSYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "517-483-2461"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "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 May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.