Organization Active NPI

Captive Beliefs Counseling Services PLLC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1902393440
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093508 Issued in MI
Legal business name
CAPTIVE BELIEFS COUNSELING SERVICES PLLC
Practice address
5005 Plainfield Ave NE Ste 100
Grand Rapids, MI 49525-2087
Phone
(231) 753-8823
Fax
(855) 693-4641
NPI assigned
Apr 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Breanne Roberts, LMSWNPI 1457602476
Title
Member/Clinical Therapist
Phone
(906) 250-8855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801093508 MI Primary

Addresses

Primary practice location

5005 Plainfield Ave NE Ste 100
Grand Rapids, MI 49525-2087

Mailing address

5005 Plainfield Ave NE Ste 100
Grand Rapids, MI 49525-2087
Phone (231) 753-8823

National Provider Directory

National Provider Directory

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": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1902393440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 PLAINFIELD AVE NE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252087",
            "telephone_number": "231-753-8823",
            "fax_number": "855-693-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 PLAINFIELD AVE NE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252087",
            "telephone_number": "231-753-8823",
            "fax_number": "855-693-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPTIVE BELIEFS COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BREANNE",
        "authorized_official_title_or_position": "MEMBER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "906-250-8855",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093508",
            "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 Feb 24, 2025; 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.