Organization Active NPI

Laura Hockenberry Gardner

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1932699337
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6301014494 Issued in MI
Legal business name
LAURA HOCKENBERRY GARDNER
Practice address
3280 E Beltline CT NE
Grand Rapids, MI 49525-9494
Phone
(616) 446-0813
NPI assigned
May 11, 2018
Last updated
Jul 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Laura Hockenberry GardnerNPI 1447562293
Title
Owner Operator
Phone
(616) 446-0813

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6301014494 MI Primary

Addresses

Primary practice location

3280 E Beltline CT NE
Grand Rapids, MI 49525-9494

Mailing address

3280 E Beltline CT NE
Grand Rapids, MI 49525-9494

National Provider Directory

National Provider Directory

Locations

4829 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49525
Phone (616) 364-3301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1932699337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 E BELTLINE CT NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 E BELTLINE CT NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259494",
            "telephone_number": "616-446-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA HOCKENBERRY GARDNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "HOCKENBERRY GARDNER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "616-446-0813"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6301014494",
            "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 Jul 29, 2021; 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.