MR. MIKE JAY PONTIUS I
NPI 1437222171
Counselor - Professional in Grand Rapids, MI
- Individual
- Male
- Counselor
- Professional
About MIKE PONTIUS
This page provides the complete NPI Profile along with additional information for Mike Pontius, a provider established in Grand Rapids, Michigan with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1437222171 assigned on November 2006. The practitioner's primary taxonomy code is 101YP2500X with license number 6401006132 (MI). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1437222171 Verify this NPI
- Provider Name
- MR. MIKE JAY PONTIUS I
- Other Name
- MR. MICHAEL JAY PONTIUS I M.A.
- Other Name Type
- Professional Name (2)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 40 JEFFERSON AVE SE GRAND RAPIDS, MI 49503
- Location Phone
- (616) 988-9388
- Location Fax
- (616) 732-6392
- Mailing Address
- PO BOX 150521 GRAND RAPIDS, MI 49515
- Mailing Phone
- (616) 437-6628
- Mailing Fax
- (616) 336-2166
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-17-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6401006132
- License State
- MI
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | 6801062098 (MI) |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437222171, enumerated as an "individual" on November 17, 2006.
The provider is located at 40 JEFFERSON AVE SE GRAND RAPIDS, MI 49503 and the phone number is (616) 988-9388.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
