Comprehensive Counseling Ctr

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COMPREHENSIVE COUNSELING CTR

Practice address

2021 44TH St SE Ste C
Grand Rapids, MI 49508-5349

Phone

(616) 777-7399

Fax

(616) 773-1383

NPI assigned

Jul 27, 2020

Organization subpart

No

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

Authorized official

Name

Cherie RuckerNPI 1760776801

Title

Provider

Phone

(616) 589-4715

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Cherie Donnette Rucker, LLMSW

  • Social Worker
  • Grand Rapids, MI
  • NPI 1760776801
  NPD Authorized official
• Alonda M Trammell-Miller, LMSW

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1407910961
  NPD

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1891304713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 44TH ST SE STE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495085349",
            "telephone_number": "616-777-7399",
            "fax_number": "616-773-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 44TH ST SE STE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495085349",
            "telephone_number": "616-777-7399",
            "fax_number": "616-773-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE COUNSELING CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "616-589-4715"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 Jul 27, 2020; 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.