CONNOR DAVID KASSUBA LLC NPI 1316824287

NPI Information

  • NPI: 1316824287
  • Provider Name: CONNOR DAVID KASSUBA, LLC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 1750 GRAND RIDGE CT NE STE 200
    GRAND RAPIDS, MI
    ZIP 49525
  • Phone: (616) 426-9034

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NPI Details

Connor David Kassuba, LLC 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. Connor David Kassuba, LLC NPI is 1316824287. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1750 GRAND RIDGE CT NE STE 200
GRAND RAPIDS, MI
ZIP 49525-043
Phone: (616) 426-9034

The enumeration date for this NPI number is 8/20/2025 and was last updated on 8/20/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health6451024526MICHIGANNo
2101Y00000XCounselor6451024526MICHIGANYes

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: 11/21/2025

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