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CREDA PLLC
NPI 1205633161
Counselor - Professional in Grand Rapids, MI

Active since February 27, 2025
977 ADA PLACE DR SE, GRAND RAPIDS, MI 49546(616) 295-0691 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Creda Pllc NPPES

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

CREDA PLLC (NPI 1205633161) is a healthcare organization registered as a professional in Grand Rapids, Michigan and active in the NPI registry since February 2025. The organization lists Mario Gibson Franciscotty, Owner, as its authorized official.

NPPES Registry Identity

NPI1205633161
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCREDA PLLC
Location Address977 ADA PLACE DR SEGrand Rapids, MI 49546-3793
Mailing Address977 Ada Place Dr SeGrand Rapids, MI 49546-3793 · (616) 295-0691
Phone(616) 295-0691
Organization SubpartNo
Authorized OfficialMario Gibson FranciscottyOwner · (616) 295-0691
Enumeration DateFebruary 27, 2025
NPPES CertifiedFebruary 27, 2025
✔ NPI 1205633161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
977 ADA PLACE DR SE, Grand Rapids, MI 49546
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Other Names 1

Other NameCreda Pllc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

Other Providers at the Same Location NPPES

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

DR. KELLY JAMES BONEWELL PHD, LPC
Counselor (Professional)
977 ADA PLACE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 460-3341

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 Creda PLLC's NPI number?

The NPI number for Creda PLLC is 1205633161. It was assigned to this organization in the NPPES registry on February 27, 2025.

Where is Creda PLLC located?

Creda PLLC is located at 977 Ada Place Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 295-0691.

What is Creda PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Creda PLLC accept?

Health plans from Blue Care Network of Michigan list Creda PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Creda PLLC was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.