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NATHAN VISSER
NPI 1396194015
Counselor - Mental Health in Grand Rapids, MI

Active since June 03, 2016
2814 WOODCLIFF CIR SE, GRAND RAPIDS, MI 49506(855) 832-6727 Get Directions Write a Review

NPPES record last updated: April 17, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 17, 2021, Jul 31, 2019, Jul 12, 2019 and 2 more (5 updates tracked since 2017).

About Nathan Visser NPPES

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

NATHAN VISSER (NPI 1396194015) is an individual mental health provider in Grand Rapids, Michigan and active in the NPI registry since June 2016. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1396194015
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameNATHAN VISSER
Location Address2814 WOODCLIFF CIR SEGrand Rapids, MI 49506-3155
Mailing Address2814 Woodcliff Cir SeGrand Rapids, MI 49506-3155 · (309) 314-0489
Phone(855) 832-6727
Sole ProprietorNo
Enumeration DateJune 3, 2016
Last NPPES UpdateApril 17, 20215 updates tracked since enumeration
NPPES CertifiedApril 17, 2021
✔ NPI 1396194015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-18-50912 (MI)
Also ListedTechnician, OtherTaxonomy 247200000X
2814 WOODCLIFF CIR SE, Grand Rapids, MI 49506
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Secondary Practice Locations 3

Location 13300 36th St SEGrand Rapids, MI 49512-2810 · Phone (616) 831-5627
Location 23910 Kinview St NWWalker, MI 49534-1261 · Phone (616) 667-7364
Location 31260 Ekhart St NEGrand Rapids, MI 49503-1380 · Phone (616) 965-3492

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.

ANGELICA SALAS
Technician, Other
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Kent County (855) 832-6727
ASHLEY DEFRIES RBT
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Kent County (269) 325-8094
CHAWNEE SCOTT
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Kent County (855) 832-6727
SHELBY EWIGLEBEN
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Kent County (616) 430-5915
MR. MATTHEW COURTNEY POLOVICK-MOULDS JR.
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Kent County (855) 832-6727
BESSY ANN BRALEY
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Kent County (855) 832-6727
DANIEL JASON MATTHEWS
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Kent County (855) 832-6727
LAUREN ELIZABETH KOLAR
Behavior Technician
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506
Kent County (616) 469-3870

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 Nathan Visser's NPI number?

The NPI number for Nathan Visser is 1396194015. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Nathan Visser located?

Nathan Visser practices at 2814 Woodcliff Cir SE, Grand Rapids, MI 49506. The listed phone number is (855) 832-6727.

What is Nathan Visser'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 Nathan Visser was last updated on April 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.