Active NPI
Houseknecht Psychological Services, LLC
- Psychologist
- Grand Rapids, MI
National Provider Identifier
1962291369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- HOUSEKNECHT PSYCHOLOGICAL SERVICES, LLC
- Practice address
- 1514 Wealthy St SE Ste 290
Grand Rapids, MI 49506-2755 - Phone
- (231) 742-8492
- NPI assigned
- May 2, 2025
- 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
- Alex Houseknecht, PH.D.
- Title
- Owner
- Phone
- (206) 465-3302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
1514 Wealthy St SE Ste 290
Grand Rapids, MI 49506-2755
Mailing address
1514 Wealthy St SE Ste 290
Grand Rapids, MI 49506-2755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260521004004 | MI | Part B Supplier - Clinic/Group Practice | 0941770796 |
Receives reassigned benefits from 1 practitioner Practice locations: Grand Rapids, MI |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1746144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746144000000",
"number": "1962291369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 WEALTHY ST SE STE 290",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495062755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 WEALTHY ST SE STE 290",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495062755",
"telephone_number": "231-742-8492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSEKNECHT PSYCHOLOGICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-02",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A",
"authorized_official_last_name": "HOUSEKNECHT",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-465-3302",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"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 May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.