BENJAMIN REISTERER LPC NPI 1811305246

NPI Information

NPI: 1811305246
Provider Name: BENJAMIN REISTERER, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
741 KENMOOR AVE SE
SUITE B
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 920-0650
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Benjamin Reisterer, LPC is a professional counselor in Grand Rapids, MI. Benjamin Reisterer, LPC NPI is 1811305246. 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:

741 KENMOOR AVE SE
SUITE B
GRAND RAPIDS, MI
ZIP 49546-304
Phone: (616) 920-0650

The enumeration date for this NPI number is 7/29/2014 and was last updated on 8/17/2016.

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
1	101YP2500X	Counselor	Professional	6401014274	MICHIGAN	Yes

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

NPI Synchronization or Removal

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