NEW REVELATION COUNSELING SERVICE LLC (NPI# 1649732116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649732116 |
| Entity Type | Organization |
| Organization Name | NEW REVELATION COUNSELING SERVICE LLC |
| Practice Address |
975 Spaulding Ave Se Ste D Ada MI 49301-3776 |
| Mailing Address |
1658 Diamond Ct Ne Grand Rapids MI 49505-4869 |
| Practice Telephone | 6168884353 |
| Mailing Telephone | 6168884353 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |
| Authorized Official Name | MICHAEL ROBERT RICHMAN (OWNER/LICENSED COUNSELOR) |
| Authorized Official Telephone | 6168884353 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1609292333 | 05 |
| Street Address |
975 SPAULDING AVE SE STE D |
| City | ADA |
| State | MI |
| Zip Code | 49301-3776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205042827 | Cheryl E Samuels | Psychologist | 975 Spaulding Ave Se Ste D, Ada, MI 49301-3776 | 2007-05-14 |
| 1407494982 | River Way Psychological Services | Psychologist | 975 Spaulding Ave Se Ste D, Ada, MI 49301-3776 | 2019-12-16 |
| 1609292333 | Michael Robert Richman | Counselor | 975 Spaulding Ave Se Ste D, Ada, MI 49301-3776 | 2014-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326608720 | Mary Zuidema Lmsw LLC | Social Worker | 938 Spaulding Ave Se, Ada, MI 49301 | 2019-06-18 |
| 1689115040 | Bright Life Therapies LLC | Physical Therapist | 7690 Candlewood Dr, Ada, MI 49301 | 2017-03-17 |
| 1639425747 | Gary W Watson | Social Worker | 975 Spaulding Ave Ste D., Ada, MI 49301 | 2012-07-25 |
| 1821361353 | Paul George Theodore | Obstetrics & Gynecology | 660 South Whitman Ct. Se (retired), Ada, MI 49301 | 2012-02-14 |
| 1265768097 | Mary Kathryn Bennett | Social Worker | 983 Spaulding Ave. S.e., Ada, MI 49301 | 2009-10-29 |
| 1770739997 | Sheila R. Mccormack | Psychologist | 983 Spaulding St., Se, Ada, MI 49301 | 2008-08-08 |
| 1932321593 | Allison Leigh Stevens | Psychologist | 4670 E Fulton Ave Se, Suite 101, Ada, MI 49301 | 2007-05-03 |
| 1750434239 | Sarah J Ash | Registered Nurse | 983 Spaulding Office Annex, Ada, MI 49301 | 2007-01-19 |
| 1396756326 | Christine Marie Olree | Clinical Nurse Specialist | 200 Jefferson, Saint Marys Healthcare, Grand Rapids, MI 49301 | 2006-08-11 |
| 1174548606 | Kurt E Schabes | Dentist | 7210 Headley Se, Ada, MI 49301 | 2006-07-13 |
| Find all providers in zip 49301 | ||||
| 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 |
|---|---|---|---|---|
| 1962020867 | Mandi Withey, Ms, LLP, Pllc | Community/Behavioral Health | 4100 Picea Valley Ct Se, Ada, MI 49301-8587 | 2020-07-08 |
| 1265079552 | Victoria Jo Barnosky | Community/Behavioral Health | 1301 N Oak Ave Apt 207, Ada, OK 74820-1218 | 2019-12-05 |
| 1134523921 | Theea | Community/Behavioral Health | 9960 County Road 3500, Ada, OK 74820-3556 | 2014-10-22 |
| 1346669470 | Biofeedback Solutions, LLC | Community/Behavioral Health | 2102 N Broadway Ave, Ada, OK 74820-1048 | 2014-04-16 |
| 1780985952 | Chickasaw Nation | Community/Behavioral Health | 231 Seabrook Rd, Ada, OK 74820-1006 | 2010-11-04 |
| 1457558298 | Family Crisis Center, Inc | Community/Behavioral Health | 605 E 12th St, Ada, OK 74820-6605 | 2007-06-27 |
| 1164557492 | Jim Wallace and Associates Incorporated | Community/Behavioral Health | 119 N. Broadway, Suite 7, Ada, OK 74820 | 2007-02-23 |
| 1124160122 | Ada Area Youth Shelter, Inc. | Community/Behavioral Health | 901 West 18th St., Ada, OK 74820 | 2007-02-13 |
| 1932749348 | Southern Oklahoma Treatment Serices, Inc. | Community/Behavioral Health | 1201 Arlington St Ste G, Ada, OK 74820-4072 | 2020-01-14 |
| 1023411907 | Addiction & Behavioral Health Center, Inc | Community/Behavioral Health | 124 S Broadway Ave, Suite 200, Ada, OK 74820-5820 | 2014-10-06 |
| Find all providers in ADA | ||||
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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.