Active NPI
Laura Hockenberry Gardner
- Mental Health Counselor
- Grand Rapids, MI
National Provider Identifier
1932699337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6301014494
- 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, 2021
- 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
- Laura Hockenberry Gardner
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.
-
- Professional Counselor
- Grand Rapids, MI
- NPI 1447562293
Mental Health
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.