NPIMap

Organization Active NPI

Living Springs Counseling Services

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1902218654
Registry record updated Jun 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090932 Issued in MI
Legal business name
LIVING SPRINGS COUNSELING SERVICES
Practice address
4829 E Beltline Ave NE BLDG 1
Suite 100
Grand Rapids, MI 49525-9747
Phone
(616) 364-3301
NPI assigned
May 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2014

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

Authorized official

Name
Ruqaiyah Rogers, LMSW
Title
Owner/Sole Proprieter
Phone
(616) 965-5671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801090932 MI Primary

Addresses

Primary practice location

4829 E Beltline Ave NE BLDG 1
Suite 100
Grand Rapids, MI 49525-9747

Mailing address

PO Box 7215
Grand Rapids, MI 49510-7215
Phone (616) 536-1520

National Provider Directory

National Provider Directory

Locations

4829 E Beltline Ave NE
Bldg 1
Grand Rapids, MI 49525
Phone (616) 364-3301

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403308800000",
    "number": "1902218654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7215",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495107215",
            "telephone_number": "616-536-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE BLDG 1",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259747",
            "telephone_number": "616-364-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING SPRINGS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-06-21",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "RUQAIYAH",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETER",
        "authorized_official_telephone_number": "616-965-5671",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090932",
            "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 Jun 21, 2014; 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.