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RUSSELL WALTON BATES JR. LLC
NPI 1043592991
Counselor in Grand Rapids, MI

Active since September 16, 2011
40 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 456-1443(616) 732-6392 Get Directions Write a Review

NPPES record last updated: September 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell Walton Bates Jr. Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL WALTON BATES JR. LLC (NPI 1043592991) is an individual counselor in Grand Rapids, Michigan, licensed in Michigan (6401011607) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1043592991
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameRUSSELL WALTON BATES JR.Credential: LLC
Location Address40 JEFFERSON AVE SEGrand Rapids, MI 49503-4304
Mailing Address9787 Us Highway 31Berrien Springs, MI 49103-9543 · (269) 929-6278
Phone(616) 456-1443
Fax(616) 732-6392
Sole ProprietorYes
Enumeration DateSeptember 16, 2011
✔ NPI 1043592991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 6401011607
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
40 JEFFERSON AVE SE, Grand Rapids, MI 49503
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARIAN EVELYN LILLY LPC
Counselor (Mental Health)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 356-6247
MS. COURTNEY LYN SMITH
Counselor (Professional)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 456-1443
MS. REBECCA SUE BUSMAN TLLP
Psychologist (Counseling)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 855-5931
MISS SARAH JEAN RIEMERSMA LMSW
Social Worker (Clinical)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 732-6391
JENNIFER ROSE GARD LMSW
Social Worker (Clinical)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 456-1443
TAMARA T JACKSON
Counselor (Addiction (Substance Use Disorder))
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 456-1443
ANDREW SCHMIDL LLMSW
Social Worker (Clinical)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 456-1443
MRS. JACQUELYN LEE LEE MA, LPC
Counselor (Professional)
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 456-1443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Bates's NPI number?

The NPI number for Russell Bates is 1043592991. It was assigned to this individual provider in the NPPES registry on September 16, 2011.

Where is Russell Bates located?

Russell Bates practices at 40 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 456-1443.

What is Russell Bates's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Russell Bates was last updated on September 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.