MRS. SUSAN DIANE VANALLSBURG (NPI# 1255522678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255522678 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN DIANE VANALLSBURG |
| Credential | M.A./L.P.C. |
| Practice Address |
1703 S Despelder St Psychological Services Center, PC Grand Haven MI 49417-2649 |
| Mailing Address |
207 Bay Circle Dr Holland MI 49424-6611 |
| Practice Telephone | 6168421277 |
| Mailing Telephone | 6163962227 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401001972 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1703 S DESPELDER ST PSYCHOLOGICAL SERVICES CENTER, PC |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306884218 | Christina Rinkevicz | Social Worker | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2006-06-03 |
| 1962068734 | Renewed Hope Counseling Services | Clinic/Center | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2019-05-16 |
| 1336617927 | Barbara Anita Doorlag | Psychologist | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2018-11-13 |
| 1427539543 | Grand Haven Counseling LLC | Counselor | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2018-08-27 |
| 1558872127 | Tisdel Counseling Services LLC | Community/Behavioral Health | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2017-10-23 |
| 1275053498 | New Path LLC | Counselor | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2017-06-20 |
| 1447698774 | Dana Leigh Hood | Counselor | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2013-06-09 |
| 1881911279 | Kaarin Anderson Ryan | Psychologist | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2010-04-26 |
| 1902073653 | Psychological Health Consultants | Clinic/Center | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2008-05-13 |
| 1457462582 | John Roger Heyns | Social Worker | 1703 S Despelder St, Psychological Services Center Lg, Grand Haven, MI 49417 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170262 | Mary Mildred Van Bonn | Counselor | 512 Washington Ave Ste B, Grand Haven, MI 49417-1455 | 2018-10-15 |
| 1700381225 | Christine Lori Reiss | Counselor | 13542 Hidden Creek Ct, Grand Haven, MI 49417-8934 | 2018-03-27 |
| 1588184048 | Randi L Stuthard | Counselor | 1475 Robbins Rd Ste 210, Grand Haven, MI 49417-2799 | 2017-06-26 |
| 1003366238 | Lori Wilder LLC | Counselor | 41 Washington Ave Ste 384, Grand Haven, MI 49417-3311 | 2016-10-12 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1205227402 | Anna Deette Vanwyck | Counselor | 950 Taylor Ave Ste 260, Grand Haven, MI 49417-2200 | 2015-02-09 |
| 1770996464 | Lorian Pauline Wilder | Counselor | 41 Washington Ave Ste 368, Grand Haven, MI 49417-1378 | 2014-06-10 |
| 1366720674 | Margaret Ruth Spoelman | Counselor | 120 S. Fifth Ave., Grand Haven, MI 49417 | 2011-08-03 |
| 1942432901 | Jeremy Drake | Counselor | 14932 Mercury Dr, Grand Haven, MI 49417-9521 | 2009-08-10 |
| 1154582922 | Martha Jane Balk | Counselor | 321 S Beechtree St, Grand Haven, MI 49417-2003 | 2008-06-24 |
| Find all providers in GRAND HAVEN | ||||
| City | GRAND HAVEN |
| Zip Code | 49417 |
Please comment or provide details below to improve the information on MRS. SUSAN DIANE VANALLSBURG.
| 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.