MR. BRYAN ANDREW FUNK (NPI# 1285953539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285953539 |
Entity Type | Individual |
Full Name | MR. BRYAN ANDREW FUNK |
Credential | MA |
Practice Address |
901 Eastern Ave Ne Grand Rapids MI 49501-0294 |
Mailing Address |
901 Eastern Ave Ne P.o. Box 294 Grand Rapids MI 49501-0294 |
Practice Telephone | 6162247578 |
Practice Fax Number | 6162247581 |
Mailing Telephone | 6162247578 |
Mailing Fax Number | 6162247581 |
Enumeration Date | 2010-05-26 |
Last Update Date | 2010-05-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
39000678A | IN | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
6401010973 | MI | Behavioral Health & Social Service Providers |
Street Address |
901 EASTERN AVE NE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49501-0294 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770649600 | George John Tyndall | Social Worker | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2006-12-28 |
1497373930 | Teresa Sofia Elam | Counselor | 901 Eastern Ave Ne, Grand Rapids, MI 49503 | 2020-07-10 |
1114555802 | Megan Griffen | Counselor | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2020-03-30 |
1134753940 | Jacinta Marie Glashower | Counselor | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2020-03-02 |
1013557586 | Elise Margaret Meyer | Social Worker | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2020-01-13 |
1821655317 | Amanda Clapper | Social Worker | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2019-05-21 |
1134680408 | Frank Antonio Mcginnis | Social Worker | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2019-03-28 |
1730656471 | Yaineabeba D. Tadese | Social Worker | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2018-10-31 |
1174007512 | Christie Martin | Counselor | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2018-09-21 |
1194227439 | Janice Heinlen | Counselor | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 | 2018-03-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205229853 | Hope Network | Point of Service | 755 36th St. Se, Grand Rapids, MI 49501 | 2015-03-06 |
1356615009 | Suzanne M Portillo | Social Worker | 901 Eastern, Grand Rapids, MI 49501 | 2012-02-28 |
1023388964 | Jamie Lynn Palma | Case Manager/Care Coordinator | 781 36th St Grand Rapids, Mi 49501-0141, Grand Rapids, MI 49501-0141 | 2012-01-10 |
1831477587 | Zachary William Gray | Case Manager/Care Coordinator | 781 36th St., Grand Rapids, MI 49501-0141 | 2011-07-29 |
1023318557 | Dawn Marie Macdonald | Case Manager/Care Coordinator | 781 36th Street, Grand Rapids, MI 49501-0141 | 2010-11-01 |
1952625626 | Karen Jean Bandstra | Registered Nurse | 765 36th Street, Grand Rapids, MI 49501-0141 | 2010-03-24 |
1730415050 | Dawn Kay Carpenter | Social Worker | 781 - 36th St., Se, Hope Network Dcs, Grand Rapids, MI 49501-0141 | 2009-10-21 |
1184778409 | Annelise Erdman | Case Manager/Care Coordinator | 781 36th St Se, Grand Rapids, MI 49501-0141 | 2007-01-23 |
1821446535 | Sheryl Nelson | Social Worker | 300 68th St Se, Grand Rapids, MI 49501-0165 | 2016-06-03 |
1508048331 | Patrick Mugi Kamau | Counselor | 901 Eastern Ave. Ne, Grand Rapids, MI 49501-0294 | 2007-12-04 |
Find all providers in zip 49501 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164020558 | Danita Mcalister | Counselor | 2504 Normandy Dr Se Apt 213b, Grand Rapids, MI 49506-7901 | 2020-10-16 |
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 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49501 |
Please comment or provide details below to improve the information on MR. BRYAN ANDREW FUNK.
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.