JUSTYNE ORTQUIST (NPI# 1679007637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679007637 |
| Entity Type | Individual |
| Full Name | JUSTYNE ORTQUIST |
| Practice Address |
2944 Fuller Ave Ne Grand Rapids MI 49505-3784 |
| Mailing Address |
4114 Crooked Tree Rd Sw Apt 19 Wyoming MI 49519-5244 |
| Practice Telephone | 6164436909 |
| Mailing Telephone | 6166387408 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 4101006765 | MI | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 995 Willagillespie Rd, #200, Eugene, OR 974012186 | 5412467263 |
| Street Address |
2944 FULLER AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-3784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487046546 | Joshua Nieuwsma | Counselor | 2944 Fuller Ave Ne, Grand Rapids, MI 49505-3784 | 2015-02-26 |
| 1740655901 | Jean Tashina Tanis | Social Worker | 2944 Fuller Ave Ne, Suite 301, Grand Rapids, MI 49505-3784 | 2015-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392288 | Megan E Six | Marriage & Family Therapist | 733 Madison Ave Se, Grand Rapids, MI 49503-5317 | 2020-10-08 |
| 1649892548 | Angie L Nelson-gates | Marriage & Family Therapist | 25 Centennial Ave Nw, Grand Rapids, MI 49504-5921 | 2020-05-13 |
| 1508409715 | Susan Lesley King Roney | Marriage & Family Therapist | 934 Cambridge Dr Se, Grand Rapids, MI 49506-3360 | 2019-10-21 |
| 1730652124 | Embrace Mental Health | Marriage & Family Therapist | 504 Ne 4th Ave, Grand Rapids, MN 55744-2820 | 2019-01-08 |
| 1245787241 | Natalie Waybrant | Marriage & Family Therapist | 1971 E Beltline Ave Ne Ste 200-c, Grand Rapids, MI 49525-7045 | 2016-09-07 |
| 1578940946 | Jerry Paredes | Marriage & Family Therapist | 25 Sheldon Ave Se, Grand Rapids, MI 49503-4209 | 2015-05-05 |
| 1609086172 | Terry Ann Rosander | Marriage & Family Therapist | 1007 Parchment Dr Se, Grand Rapids, MI 49546-3664 | 2007-05-23 |
| 1720162233 | Lois J Meyer | Marriage & Family Therapist | 412 N Pokegama Ave Ste 10, Grand Rapids, MN 55744-2684 | 2006-10-24 |
| 1043315278 | Lois J Meyer | Marriage & Family Therapist | 419 Timberline Cir Sw, Grand Rapids, MN 55744 | 2006-09-13 |
| 1407872526 | Charlotte Jean Hilber | Marriage & Family Therapist | 707 E Beltline Ave Ne, Grand Rapids, MI 49525-6045 | 2006-07-14 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
Please comment or provide details below to improve the information on JUSTYNE ORTQUIST.
| 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.