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BREAKTHROUGH BELIEVERS NPI 1184170565


NPI Information

NPI: 1184170565
Provider Name: BREAKTHROUGH BELIEVERS
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
924 EASTERN AVE SE
GRAND RAPIDS, MI
ZIP 49507
Phone: (231) 343-2753
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BREAKTHROUGH BELIEVERS is a counselor in Grand Rapids, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. BREAKTHROUGH BELIEVERS NPI is 1184170565. The provider is registered as an organization entity type.

The provider's business location address is:

924 EASTERN AVE SE
GRAND RAPIDS, MI
ZIP 49507-303
Phone: (231) 343-2753

The provider's authorized official is Wendy Niemeyer .
The authorized official title is Counselor/rehabilitation Spec./chw and has the following contact phone number (616) 365-9009.

The enumeration date for this NPI number is 8/26/2016 and was last updated on 10/24/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral HealthNo
3251X00000XSupports BrokerageNo
4101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11376866160MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.