Individual provider Active NPI

Anthony Bordenkircher, LLMFT

  • Marriage & Family Therapist
  • Holland, MI
National Provider Identifier
1972888535
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101006487 Issued in MI
Practice address
36 W 8TH St
#250
Holland, MI 49423-2701
Phone
(616) 594-0810
NPI assigned
Oct 14, 2011
Last updated
Oct 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4101006487 MI Primary

Addresses

Primary practice location

36 W 8TH St
#250
Holland, MI 49423-2701

Mailing address

140 Sanford St
Zeeland, MI 49464-1839
Phone (616) 594-0810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917000696 MI Practitioner - Marriage and Family Therapist 8123354594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holland Family Counseling LLCGroup PAC ID 6406182872, 4 clinicians

Practice addresses (Care Compare)

490 Century LN
Suite 200
Holland, MI 49423-2220
Phone (616) 594-0810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4101006487MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Family Counseling LLC CurrentSince Feb 18, 2016 Accepting new patients

Locations

490 Century Ln
Ste 200
Holland, MI 49423
Phone (616) 594-0810

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1972888535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SANFORD ST",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641839",
            "telephone_number": "616-594-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W 8TH ST",
            "address_2": "#250",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232701",
            "telephone_number": "616-594-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDENKIRCHER",
        "first_name": "ANTHONY",
        "credential": "LLMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.