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CHILDRESS COUNSELING PLLC
NPI 1689152225
Counselor - Professional in Grandville, MI

Active since August 06, 2018
4565 WILSON AVE SW STE 3A, GRANDVILLE, MI 49418(616) 466-3107 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2024, Aug 6, 2018 (2 updates tracked since 2018).

About Childress Counseling Pllc NPPES

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

CHILDRESS COUNSELING PLLC (NPI 1689152225) is a healthcare organization registered as a professional in Grandville, Michigan and active in the NPI registry since August 2018. The organization lists Kim M Childress, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1689152225
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCHILDRESS COUNSELING PLLC
Location Address4565 WILSON AVE SW STE 3AGrandville, MI 49418-2371
Mailing Address3300 36th St SeKentwood, MI 49512-2810 · (616) 304-7517
Phone(616) 466-3107
Organization SubpartNo
Authorized OfficialKim M ChildressSole Member · (616) 466-3107
Enumeration DateAugust 6, 2018
Last NPPES UpdateJune 5, 20242 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1689152225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
4565 WILSON AVE SW STE 3A, Grandville, MI 49418
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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

Other Providers at the Same Location NPPES

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

MR. MATTHEW M SCHMUKER LLPC, LLMFT
Counselor (Professional)
4565 WILSON AVE SW STE 3A
GRANDVILLE, MI 49418
Kent County (616) 805-4416

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 Childress Counseling PLLC's NPI number?

The NPI number for Childress Counseling PLLC is 1689152225. It was assigned to this organization in the NPPES registry on August 6, 2018.

Where is Childress Counseling PLLC located?

Childress Counseling PLLC is located at 4565 Wilson Ave SW Ste 3A, Grandville, MI 49418. The listed phone number is (616) 466-3107.

What is Childress Counseling PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Childress Counseling PLLC was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.