| Second Story Counseling | |
|
3424 Chicago Dr Ste 205 Hudsonville MI 49426-1411 | |
| (616) 426-9034 | |
| Not Available |
| Full Name | Second Story Counseling |
|---|---|
| Speciality | Counselor |
| Location | 3424 Chicago Dr Ste 205, Hudsonville, Michigan |
| Authorized Official Name and Position | Michael Walton (OWNER) |
| Authorized Official Contact | 6164269034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Story Counseling 7678 Cottonwood Dr Ste C Jenison MI 49428-7312 Ph: (616) 821-8723 | Second Story Counseling 3424 Chicago Dr Ste 205 Hudsonville MI 49426-1411 Ph: (616) 426-9034 |
| NPI Number | 1013460716 |
|---|---|
| Provider Enumeration Date | 07/28/2016 |
| Last Update Date | 12/27/2021 |
| Certification Date | 12/27/2021 |
| Medicare PECOS PAC ID | 6204292063 |
|---|---|
| Medicare Enrollment ID | O20230520000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013460716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (NU) | Primary |
| Provider Name | Phillip L Nienhuis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205976784 PECOS PAC ID: 7618900762 Enrollment ID: I20050919000192 |
| Provider Name | Robert J Ritzema |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770612657 PECOS PAC ID: 9234303637 Enrollment ID: I20120823000881 |
| Provider Name | Olivia G Brower |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154970333 PECOS PAC ID: 2365833423 Enrollment ID: I20211228000116 |
| Provider Name | Diana L Simpson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770726663 PECOS PAC ID: 0143677187 Enrollment ID: I20231113001293 |
| Provider Name | Eric Winer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336711969 PECOS PAC ID: 6002264520 Enrollment ID: I20231122000635 |
| Provider Name | Mark L Holloway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952805830 PECOS PAC ID: 1355799875 Enrollment ID: I20231122000693 |
| Provider Name | Danielle Fall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306427208 PECOS PAC ID: 6800244328 Enrollment ID: I20231122000713 |
| Provider Name | Michael B Hazeltine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215413091 PECOS PAC ID: 7911355243 Enrollment ID: I20231128001505 |
| Provider Name | Kimberly S Bytwerk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417415829 PECOS PAC ID: 3577911502 Enrollment ID: I20231130002650 |
| Provider Name | William J Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043774466 PECOS PAC ID: 3072961028 Enrollment ID: I20231130003340 |
| Provider Name | Emily R Samuels |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891247185 PECOS PAC ID: 9638527435 Enrollment ID: I20231204002224 |
| Provider Name | Denise a Boldt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013452465 PECOS PAC ID: 6709234594 Enrollment ID: I20231205001642 |
| Provider Name | William E Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124633185 PECOS PAC ID: 0244687531 Enrollment ID: I20231206002499 |
| Provider Name | Steven S Jahnke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447734520 PECOS PAC ID: 9830549757 Enrollment ID: I20231219000691 |
| Provider Name | Olivia C Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457015745 PECOS PAC ID: 8921458688 Enrollment ID: I20231221002527 |
| Provider Name | Lauren Sack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760901235 PECOS PAC ID: 0749630549 Enrollment ID: I20240112002522 |
| Provider Name | Leo Preston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174160378 PECOS PAC ID: 5092159558 Enrollment ID: I20240223000454 |
| Provider Name | Todd Leva |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851096788 PECOS PAC ID: 4486090370 Enrollment ID: I20240314000302 |
| Provider Name | Laurel Backing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093464026 PECOS PAC ID: 1153866140 Enrollment ID: I20240715001850 |
| Provider Name | Katherine Straus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801644224 PECOS PAC ID: 8729523725 Enrollment ID: I20240715002096 |
| Provider Name | Samuel a Beals |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073572541 PECOS PAC ID: 8729975313 Enrollment ID: I20240729003457 |
| Provider Name | Jennifer Vander Wilp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437557857 PECOS PAC ID: 7517497530 Enrollment ID: I20250206000725 |
| Provider Name | Allison L Studer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245894385 PECOS PAC ID: 1153844279 Enrollment ID: I20250331000777 |
| Provider Name | Natalya Busscher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023720752 PECOS PAC ID: 1355865791 Enrollment ID: I20250408000916 |
| Provider Name | Karmen Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407562473 PECOS PAC ID: 4284158155 Enrollment ID: I20250412000070 |
| Provider Name | Betty M Verburg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881342020 PECOS PAC ID: 8729594635 Enrollment ID: I20250718000911 |
| Provider Name | Leah M Lappan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669915625 PECOS PAC ID: 2365958279 Enrollment ID: I20250718000926 |
| Provider Name | Andrew Woznick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588393870 PECOS PAC ID: 5698277549 Enrollment ID: I20250909000851 |
| Provider Name | Guy Flom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184405086 PECOS PAC ID: 2062904782 Enrollment ID: I20251120002681 |
| Provider Name | Jonathan Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982486643 PECOS PAC ID: 2769974427 Enrollment ID: I20251120003655 |
| Provider Name | Annika R Smeenge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184314726 PECOS PAC ID: 3375026529 Enrollment ID: I20260316001812 |
| Provider Name | Michael L Raad |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275395204 PECOS PAC ID: 7315412061 Enrollment ID: I20260409002744 |
| Provider Name | Tony L Vandenhoek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609505700 PECOS PAC ID: 1850866492 Enrollment ID: I20260410002067 |
| Provider Name | Ash Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467022632 PECOS PAC ID: 5395211783 Enrollment ID: I20260414001238 |
First Responders Support LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2874 Port Sheldon St, Hudsonville, MI 49426 Phone: 616-741-1237 |
Amanda Stienstra Lmsw LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2874 Port Sheldon St Ste E, Hudsonville, MI 49426 Phone: 616-379-9845 |
Held Within LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5445 32nd Ave, Hudsonville, MI 49426 Phone: 616-502-0275 |
Keith Foisy Clinical Services PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6515 34th Ave, Hudsonville, MI 49426 Phone: 616-389-0708 |
The Evans Group LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5445 32nd Ave Ste 180, Hudsonville, MI 49426 Phone: 616-307-6855 |
Sharon Diepenhorst LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7502 Hidden Forest Dr, Hudsonville, MI 49426 Phone: 616-340-4650 |