Individual provider Active NPI

Aaron Goodrich, MA, LPC

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1962739284
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401011490 Issued in MI
Practice address
800 Scribner Ave NW
Grand Rapids, MI 49504-4424
Phone
(616) 287-4161
NPI assigned
Nov 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401011490 MI Primary

Addresses

Primary practice location

800 Scribner Ave NW
Grand Rapids, MI 49504-4424

Mailing address

350 Scott Ave NW
Grand Rapids, MI 49504-4964
Phone (616) 287-4161

Other practice location 1

1090 N 10th St
Suite 110
Kalamazoo, MI 49009-5733
Phone (269) 375-4363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401011490MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Goodrich Counseling Professional CurrentSince Jul 4, 2021 Accepting new patients
Cornerstone Christian Counseling PC Professional PastSince Apr 16, 2024 Accepting new patients

Locations

800 Scribner Ave NW
Grand Rapids, MI 49504
Phone (616) 287-4161

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1962739284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SCOTT AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044964",
            "telephone_number": "616-287-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SCRIBNER AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044424",
            "telephone_number": "616-287-4161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 N 10th St",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490095733",
            "country_code": "US",
            "telephone_number": "269-375-4363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-06",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011490",
            "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 Jun 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.