ALEXIS W INCORPORATED (NPI# 1902430119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902430119 |
| Entity Type | Organization |
| Organization Name | ALEXIS W INCORPORATED |
| Practice Address |
2716 E Paris Ave Se Grand Rapids MI 49546-6139 |
| Mailing Address |
1365 Union Ave Ne Grand Rapids MI 49505-5105 |
| Practice Telephone | 6169750700 |
| Mailing Telephone | 6169154213 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | MRS. ALEXIS KARAMOL (PRESIDENT) |
| Authorized Official Telephone | 6169154213 |
| Authorized Official Credential | MA LLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | INDIVIDUAL NPI OF PRESIDENT | 1528479136 | 01 |
| MI | LICENSE # | 6301015925 | 01 |
| Other Name | Type Code |
|---|---|
| Cardinal Counseling & Assessment | Doing Business As Name - Organization |
| Street Address |
2716 E PARIS AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-6139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639276348 | Kathleen Mary Bricker | Social Worker | 2716 E Paris Ave Se, Grand Rapids, MI 49546-6139 | 2006-09-17 |
| 1528479136 | Alexis Karamol | Psychologist | 2716 E Paris Ave Se, Grand Rapids, MI 49546-6139 | 2014-05-16 |
| 1265860258 | Maria G. Gruppen | Psychologist | 2716 E Paris Ave Se, Grand Rapids, MI 49546-6139 | 2013-10-29 |
| 1912184037 | Lambertus Vanhoek | Psychologist | 2716 E Paris Ave Se, Grand Rapids, MI 49546-6139 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810272 | Healthy Heads and Hearts, LLC | Clinic/Center | 50 Louis St Nw Ste 610, Grand Rapids, MI 49503-2645 | 2020-04-27 |
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|---|---|---|---|---|
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| 1720614530 | Oakland Integrated Healthcare Network | Clinic/Center | 125 W Montcalm St Rm 101, Pontiac, MI 48342-1141 | 2020-03-13 |
| 1588203491 | Heron Ridge Associates Plc | Clinic/Center | 3300 Washtenaw Ave Ste 265, Ann Arbor, MI 48104-4200 | 2019-12-26 |
| 1972141406 | Reliance Counseling, LLC. | Clinic/Center | 11126 Wayne Rd # 2, Romulus, MI 48174-1473 | 2019-12-16 |
| 1629639190 | Pathway Psychological Services Pllc | Clinic/Center | 22750 Woodward Ave Ste 211, Ferndale, MI 48220-1753 | 2019-06-25 |
| 1790344281 | Yearego Professional Counseling | Clinic/Center | 81 Indianwood Rd Ste 2, Lake Orion, MI 48362-1595 | 2019-06-10 |
| 1992268627 | Kalamazoo Empowerment Services, Plc | Clinic/Center | 350 E Michigan Ave Ste 421, Kalamazoo, MI 49007-3855 | 2019-04-10 |
| 1922571041 | Repairer of The Breach Counseling and Consultant Services, LLC | Clinic/Center | 319 Chandler St, Detroit, MI 48202-2857 | 2019-01-11 |
| 1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
| 1972073633 | Hidden Brook Counseling Services, Pllc | Clinic/Center | 2202 Mitchell Park Dr Ste 2b, Petoskey, MI 49770-8897 | 2018-11-26 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.