Justin Benjamin McCoy, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401017700 Issued in MI

Practice address

3351 Claystone St SE Ste G32
Grand Rapids, MI 49546-5794

Phone

(616) 219-0499

NPI assigned

Sep 14, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1972153682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 CLAYSTONE ST SE STE G32",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465794",
            "telephone_number": "616-219-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 CLAYSTONE ST SE STE G32",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465794",
            "telephone_number": "616-219-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "JUSTIN",
        "middle_name": "BENJAMIN",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-14",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401017700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn McCourry
• McCoy Family Dentistry
• Crystal McCoy
• Jaucquene Chariel McCoy
• Jerrod McCoy
• Kenneth Lamar McCoy, LLMSW
• Michael Steven McCoy, D.D.S.
• Steven McCoy, DDS
• Imani McCray
• Selena McCray, MSOT, OTRL

• Mental Health Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.