BRYAN JOSEPH NIXON


Address: 1870 Leonard St Ne, Grand Rapids, MI 49505-5650
Phone: 6169561122

BRYAN JOSEPH NIXON (NPI# 1245569052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245569052
Entity Type Individual
Full Name BRYAN JOSEPH NIXON
Credential LPC
Practice Address 1870 Leonard St Ne
Grand Rapids
MI 49505-5650
Mailing Address Po Box 120125
Grand Rapids
MI 49528-0103
Practice Telephone 6169561122
Practice Fax Number 6169568033
Mailing Telephone 6169561122
Mailing Fax Number 6169568033
Enumeration Date 2009-12-08
Last Update Date 2011-01-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
6401012317 MI Behavioral Health & Social Service Providers

Office Location

Street Address 1870 LEONARD ST NE
City GRAND RAPIDS
State MI
Zip Code 49505-5650

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992898001 Pamela Ann Wright-hachet Social Worker 1870 Leonard St Ne, Grand Rapids, MI 49505-5650 2006-10-02
1275171837 Cindy S Urban Counselor 1870 Leonard St Ne, Grand Rapids, MI 49505-5650 2019-12-13
1013560085 Jason R Rood Social Worker 1870 Leonard St Ne, Grand Rapids, MI 49505-5650 2019-07-18
1326522293 Kristy Lee Gunnink Counselor 1870 Leonard St Ne, Grand Rapids, MI 49505-5650 2018-09-18
1629505268 Cassandra Marie Degraaf Social Worker 1870 Leonard St Ne, Grand Rapids, MI 49505-5650 2017-05-14
1972057081 Marci Gleason Social Worker 1870 Leonard St Ne, Grand Rapids, MI 49505-5650 2016-08-05
1598138810 Pine Rest Christian Mental Health Services Counselor 1870 Leonard St Ne, Grand Rapids, MI 49505-5650 2015-11-09
1598193773 Michele Rae Anne Jackson Social Worker 1870 Leonard St Ne, Grand Rapids, MI 49505-5650 2013-10-24
1275886426 Ian Nelson Psychologist 1870 Leonard St Ne, Grand Rapids, MI 49505-5650 2012-10-24
1922359710 Cherie M Keating Social Worker 1870 Leonard St Ne, Grand Rapids, MI 49505-5650 2012-09-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285276097 Molly Beth Kerkstra Home Health Aide 1115 Ball Ave Nw, Grand Rapids, MI 49505 2019-10-14
1154849677 Roshawn Nichol Whitley Technician 891 Maryland Ave, Grand Rapids, MI 49505 2017-09-05
1447778923 Kelly Benzin-brinks Social Worker 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 2017-09-05
1033560404 Taylor Nolan Boyd Speech-Language Pathologist 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 2016-06-28
1023465002 Calvin Athy Counselor 1101 Ballave Ne, Grand Rapids, MI 49505 2016-05-19
1821456682 Kelly Van Huisen Counselor 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 2016-02-08
1780051102 Mark Squeteri Social Worker 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 2015-09-02
1346637337 Shelby Fullington Social Worker 1011 Ball Ave Ne, Grand Rapids, MI 49505 2015-04-17
1457745325 Lester Anderson II Social Worker 1115 Ball Ave, Grand Rapids, MI 49505 2015-03-27
1730570151 Nicole Brown Counselor 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 2015-02-06
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1013521574 Megan Flier Counselor 3744 Bradford St Ne, Grand Rapids, MI 49525-3325 2020-09-02
1457962078 Cappon Consulting LLC Counselor 1344 Mayfield Ave Ne, Grand Rapids, MI 49505-5525 2020-08-17
1124644596 Travis James Atkinson Counselor 3000 Wausaukee Dr Ne, Grand Rapids, MI 49525-1916 2020-06-22
1639790207 Tracey Wicks Counselor 78 Centerbrook St Se, Grand Rapids, MI 49548-6902 2020-05-05
1174160592 Lindsey Elizabeth Rosa Counselor 845 5th St Nw Apt 2, Grand Rapids, MI 49504-5163 2019-12-04
1710530597 New Way Counseling LLC Counselor 1971 E Beltline Ave Ne Ste C, Grand Rapids, MI 49525-7045 2019-07-19
1588216048 Kate Jack Counselor 3351 Claystone St Se Ste G32, Grand Rapids, MI 49546-5794 2019-07-15
1104488105 Travis Gordon Counselor 800 Monroe Ave Nw Ste 319, Grand Rapids, MI 49503-1451 2019-07-01
1255996575 The Family Therapy Place Pllc Counselor 731 Front Ave Nw, Grand Rapids, MI 49504-5366 2019-05-02
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Competitor

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City GRAND RAPIDS
Zip Code 49505

Improve Information

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Dataset Information

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.

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