NPIMap

Organization Active NPI

LLC Behavior Services

  • Addiction (Substance Use Disorder) Counselor
  • Grand Rapids, MI
National Provider Identifier
1972002111
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
C-00112 Issued in MI
Legal business name
LLC BEHAVIOR SERVICES
Practice address
1960 Millbrook St SE
Grand Rapids, MI 49508-2636
Phone
(616) 633-3700
Fax
(616) 930-4640
NPI assigned
Feb 2, 2018
Last updated
Feb 2, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
HARD PHILOSOPHER MINISTRIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Authorized official

Name
Larry Mitchell, MA. CAADC. SPADA.NPI 1649779927
Title
Executive Director Program Manager
Phone
(616) 633-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X C-00112 MI Primary

Addresses

Primary practice location

1960 Millbrook St SE
Grand Rapids, MI 49508-2636

Mailing address

1960 Millbrook St SE
Grand Rapids, MI 49508-2636
Phone (616) 633-3700

Other names 1

  • LLC Behavior Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Hard Philosopher Ministries3 organizations share this tax ID, including this one
Part of
Hard Philosopher Ministries

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1972002111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 MILLBROOK ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495082636",
            "telephone_number": "616-633-3700",
            "fax_number": "616-930-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 MILLBROOK ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495082636",
            "telephone_number": "616-633-3700",
            "fax_number": "616-930-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLC BEHAVIOR SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARD PHILOSOPHER MINISTRIES",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR PROGRAM MANAGER",
        "authorized_official_telephone_number": "616-633-3700",
        "authorized_official_credential": "MA. CAADC. SPADA."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-00112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC Behavior Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 2, 2018; 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.