Active NPI
Andrea Beck-Lundskow LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grand Rapids, MI
National Provider Identifier
1982242079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ANDREA BECK-LUNDSKOW LLC
- Practice address
- 4070 Lake Dr SE Ste 101
Grand Rapids, MI 49546-8294 - Phone
- (616) 213-3302
- NPI assigned
- Dec 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Lundskow, LMSW
- Title
- Owner
- Phone
- (616) 308-7947
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
4070 Lake Dr SE Ste 101
Grand Rapids, MI 49546-8294
Mailing address
1145 Eastwood Ave SE
Grand Rapids, MI 49506-3579
Phone (616) 308-7947
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Grand Rapids, MI
- NPI 1801226808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576713600000",
"number": "1982242079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 EASTWOOD AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495063579",
"telephone_number": "616-308-7947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4070 LAKE DR SE STE 101",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468294",
"telephone_number": "616-213-3302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREA BECK-LUNDSKOW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-19",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A",
"authorized_official_last_name": "LUNDSKOW",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-308-7947",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 19, 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.