Organization Active NPI

Somatic Integrative Therapies LLC

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1952196677
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOMATIC INTEGRATIVE THERAPIES LLC
Practice address
2020 Raybrook St SE Ste 104C
Grand Rapids, MI 49546-7717
Phone
(616) 325-3389
NPI assigned
Apr 12, 2025
Last updated
Apr 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Authorized official

Name
Alexis N Miller, LPCNPI 1891471082
Title
Professional Counselor
Phone
(616) 325-3389

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 Counselor 101YM0800X Primary

Addresses

Primary practice location

2020 Raybrook St SE Ste 104C
Grand Rapids, MI 49546-7717

Mailing address

18 Caledonia St NE
Grand Rapids, MI 49505-4902
Phone (616) 325-3389

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, 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": "1744416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744416000000",
    "number": "1952196677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CALEDONIA ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054902",
            "telephone_number": "616-325-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 RAYBROOK ST SE STE 104C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467717",
            "telephone_number": "616-325-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMATIC INTEGRATIVE THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-12",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "616-325-3389",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Apr 12, 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.