NPIMap

Organization Active NPI

Pearl Street Counseling LLC

  • Counselor
  • Grand Rapids, MI
National Provider Identifier
1972069771
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PEARL STREET COUNSELING LLC
Practice address
40 Pearl St NW Ste 341
Grand Rapids, MI 49503-3028
Phone
(847) 668-4097
NPI assigned
Feb 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Corinne Maria FosterNPI 1457608747
Title
Owner
Phone
(847) 668-4097

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

40 Pearl St NW Ste 341
Grand Rapids, MI 49503-3028

Mailing address

40 Pearl St NW Ste 341
Grand Rapids, MI 49503-3028
Phone (847) 668-4097

Other names 1

  • Hold Your Own LLC Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1550361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1972069771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PEARL ST NW STE 341",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033028",
            "telephone_number": "847-668-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PEARL ST NW STE 341",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033028",
            "telephone_number": "847-668-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL STREET COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-17",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-668-4097"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hold Your Own LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 9, 2022; 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.