TISDEL COUNSELING SERVICES LLC (NPI# 1558872127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558872127 |
| Entity Type | Organization |
| Organization Name | TISDEL COUNSELING SERVICES LLC |
| Practice Address |
1703 S Despelder St Grand Haven MI 49417-2649 |
| Mailing Address |
515 River St Spring Lake MI 49456-1907 |
| Practice Telephone | 6168429160 |
| Mailing Telephone | 6165025474 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |
| Authorized Official Name | KRISTA TISDEL (CLINICAL MASTERS SOCIAL WORKER) |
| Authorized Official Telephone | 6165025474 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6801087231 | MI | Agencies |
| Street Address |
1703 S DESPELDER ST |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306884218 | Christina Rinkevicz | Social Worker | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2006-06-03 |
| 1962068734 | Renewed Hope Counseling Services | Clinic/Center | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2019-05-16 |
| 1336617927 | Barbara Anita Doorlag | Psychologist | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2018-11-13 |
| 1427539543 | Grand Haven Counseling LLC | Counselor | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2018-08-27 |
| 1275053498 | New Path LLC | Counselor | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2017-06-20 |
| 1447698774 | Dana Leigh Hood | Counselor | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2013-06-09 |
| 1881911279 | Kaarin Anderson Ryan | Psychologist | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2010-04-26 |
| 1902073653 | Psychological Health Consultants | Clinic/Center | 1703 S Despelder St, Grand Haven, MI 49417-2649 | 2008-05-13 |
| 1255522678 | Susan Diane Vanallsburg | Counselor | 1703 S Despelder St, Psychological Services Center, PC, Grand Haven, MI 49417-2649 | 2007-08-09 |
| 1457462582 | John Roger Heyns | Social Worker | 1703 S Despelder St, Psychological Services Center Lg, Grand Haven, MI 49417 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346329570 | Ottawa County Cmh | Community/Behavioral Health | 1111 Fulton St, Grand Haven, MI 49417-1569 | 2006-11-06 |
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| 1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
| 1720688617 | Mjw Counseling Services | Community/Behavioral Health | 564 Marcia St Sw, Wyoming, MI 49509-4013 | 2020-10-29 |
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
| 1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | GRAND HAVEN |
| Zip Code | 49417 |
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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.