Organization Active NPI

Lauren Bonnell Ma MLP PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Rapids, MI
National Provider Identifier
1891573382
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LAUREN BONNELL MA MLP PLLC
Practice address
1971 E Beltline Ave NE Ste 1063526
Grand Rapids, MI 49525-7045
Phone
(616) 260-5400
NPI assigned
Sep 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Lauren Bonnell, MA MLP
Title
Owner
Phone
(616) 260-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1971 E Beltline Ave NE Ste 1063526
Grand Rapids, MI 49525-7045

Mailing address

1971 E Beltline Ave NE Ste 106
Grand Rapids, MI 49525-7045

National Provider Directory

National Provider Directory

Locations

1971 E Beltline Ave NE
Ste 1063526
Grand Rapids, MI 49525
Phone (616) 260-5400

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": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1891573382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 E BELTLINE AVE NE STE 106",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 E BELTLINE AVE NE STE 1063526",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257045",
            "telephone_number": "616-260-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN BONNELL MA MLP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "BONNELL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-260-5400",
        "authorized_official_credential": "MA MLP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Sep 18, 2023; 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.