Mary Mildred Van Bonn, MA, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401016842 Issued in MI

Practice address

512 Washington Ave Ste B
Grand Haven, MI 49417-1455

Phone

(616) 209-9577

NPI assigned

Oct 15, 2018

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• Vivante Counseling

  • Mental Health Counselor
  • Grand Haven, MI
  • NPI 1588301410
  NPD Authorized official

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1982170262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 COLFAX AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171828",
            "telephone_number": "616-209-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 WASHINGTON AVE STE B",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171455",
            "telephone_number": "616-209-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BONN",
        "first_name": "MARY",
        "middle_name": "MILDRED",
        "credential": "MA, LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401016842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom Kenneth Trumbull IV, DPT
• Turning Pointe Therapies
• Jennifer Tuuk
• Jane Ubben, MSPT
• Amy Elizabeth Uber-Haag, RN.BSN,TNCC,ENPC,ACL
• Kevin L Vanallen, MD
• Megan Vanata
• Hayley Vanbeek, DPT
• Vandenbosch Counseling Services PLC
• Temitope Togunde Vandenbosch, LMSW

• Professional Counselor in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.