Active NPI
Untangled Counseling, PLLC
- Community/Behavioral Health Agency
- Zeeland, MI
National Provider Identifier
1902264088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6801088501
- Legal business name
- UNTANGLED COUNSELING, PLLC
- Practice address
- 440 S State St
Suite 320
Zeeland, MI 49464-2060 - Phone
- (616) 990-8544
- NPI assigned
- Feb 4, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shirley M Valk, LMSW, ACSW
- Title
- Owner
- Phone
- (616) 886-0820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6801088501 | MI | Primary |
Addresses
Primary practice location
440 S State St
Suite 320
Zeeland, MI 49464-2060
Mailing address
440 S State St
Suite 320
Zeeland, MI 49464-2060
Phone (616) 990-8544
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463702400000",
"number": "1902264088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 S STATE ST",
"address_2": "SUITE 320",
"city": "ZEELAND",
"state": "MI",
"postal_code": "494642060",
"telephone_number": "616-990-8544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 S STATE ST",
"address_2": "SUITE 320",
"city": "ZEELAND",
"state": "MI",
"postal_code": "494642060",
"telephone_number": "616-990-8544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNTANGLED COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-04",
"last_updated": "2016-05-20",
"status": "A",
"authorized_official_last_name": "VALK",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-886-0820",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMSW, ACSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "6801088501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zeeland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.