COUNTRY-SIDE COUNSELING & CONSULTATION SERVICES, PC
NPI 1184940751
Counselor - Mental Health in Fruitport, MI

Active since April 08, 2010
388 N 3RD AVE, SUITE F, FRUITPORT, MI 49415(231) 571-0082 Get Directions Write a Review

NPPES record last updated: October 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Country-side Counseling & Consultation Services, Pc NPPES

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

COUNTRY-SIDE COUNSELING & CONSULTATION SERVICES, PC (NPI 1184940751) is a healthcare organization registered as a mental health in Fruitport, Michigan and active in the NPI registry since April 2010. The organization lists Roger Dale Bayne, President, as its authorized official.

NPPES Registry Identity

NPI1184940751
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCOUNTRY-SIDE COUNSELING & CONSULTATION SERVICES, PC
Location Address388 N 3RD AVE, SUITE FFruitport, MI 49415-9785
Mailing Address388 N 3rd Ave, Suite FFruitport, MI 49415-9785 · (231) 571-0082
Organization SubpartNo
Authorized OfficialRoger Dale BaynePresident · (231) 571-0082
Enumeration DateApril 8, 2010
Last NPPES UpdateOctober 27, 2016
NPI 1184940751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
388 N 3RD AVE, Fruitport, MI 49415

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
388 N 3RD AVE, SUITE F
FRUITPORT, MI 49415
Optometrist
388 N 3RD AVE, STE I
FRUITPORT, MI 49415
Chiropractor
388 N 3RD AVE, SUITE L
FRUITPORT, MI 49415
Optometrist
388 N 3RD AVE, SUITE I
FRUITPORT, MI 49415

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 Country-Side Counseling & Consultation Services, PC's NPI number?

The NPI number for Country-Side Counseling & Consultation Services, PC is 1184940751. It was assigned to this organization in the NPPES registry on April 8, 2010.

Where is Country-Side Counseling & Consultation Services, PC located?

Country-Side Counseling & Consultation Services, PC is located at 388 N 3rd Ave Suite F, Fruitport, MI 49415. The listed phone number is (231) 571-0082.

What is Country-Side Counseling & Consultation Services, PC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Country-Side Counseling & Consultation Services, PC was last updated on October 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.