WEST MICHIGAN PSYCHOLOGICAL SERVICES, LLC (NPI# 1215407044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215407044 |
| Entity Type | Organization |
| Organization Name | WEST MICHIGAN PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
259 Hoover Blvd Ste 140 Holland MI 49423-3790 |
| Practice Telephone | 6164600174 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | LESLIE ROBERTS (OWNER) |
| Authorized Official Telephone | 6164600174 |
| Authorized Official Credential | LPC, LLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
259 HOOVER BLVD STE 140 |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-3790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225495765 | Ashton Campbell | Counselor | 259 Hoover Blvd Ste 140, Holland, MI 49423-3790 | 2016-01-27 |
| 1528685294 | Andrea Hagen | Social Worker | 259 Hoover Blvd Ste 140, Holland, MI 49423-3790 | 2020-06-29 |
| 1134751225 | Erin Darlene Alexander-bell | Counselor | 259 Hoover Blvd Ste 140, Holland, MI 49423-3790 | 2020-02-07 |
| 1881244507 | Anne Behler | Counselor | 259 Hoover Blvd Ste 140, Holland, MI 49423-3790 | 2019-09-14 |
| 1629534987 | Sara Winter | Social Worker | 259 Hoover Blvd Ste 140, Holland, MI 49423-3790 | 2019-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572783 | Shanna Aline Housman | Counselor | 610 S 160th Ave, Holland, MI 49423-6706 | 2020-09-14 |
| 1285098087 | Amanda Schlupp | Counselor | 4 Joyce Kilmer Dr, Holland, PA 18966-2843 | 2016-04-07 |
| 1568842474 | Brenda O'connor | Counselor | 53 Stafford Rd, Holland, MA 01521-2804 | 2015-06-05 |
| 1871980177 | Rick Vantil | Counselor | 2359 Black Lake Walk, Holland, MI 49424-2392 | 2015-04-24 |
| 1972873776 | Joanne Beth Vandenberg | Counselor | 1243 Euna Vista Ct, Holland, MI 49423-6608 | 2012-01-10 |
| 1881820215 | Yvette Chiquito | Counselor | 12265 James St., Holland, MI 49424 | 2009-05-29 |
| 1316197122 | Ilona Naroditskiy | Counselor | 82 Buck Rd Ste 3, Holland, PA 18966-1751 | 2008-09-29 |
| 1780880534 | Noel Trevor Matthews | Counselor | 3933 Kerri Ct, Holland, MI 49424-9492 | 2007-06-26 |
| 1225150410 | Lynne Lehocky | Counselor | 4951 Rosabelle Beach Ave, Holland, MI 49424-1030 | 2007-04-06 |
| 1679659676 | Henrietta M Reynolds | Counselor | 3184 Burnley Place, Alpha Therapeutic Counseling Inc, Holland, PA 18966-2902 | 2006-10-31 |
| Find all providers in HOLLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.