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MR. MARK S WALSTROM L.P.C.
NPI 1780750844
Counselor - Professional in Ada, MI

Active since November 28, 2006
967 SPAULDING AVE SE, SUITE E, ADA, MI 49301(616) 633-2170 Get Directions Write a Review

NPPES record last updated: January 26, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Mark S Walstrom L.p.c. NPPES

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

MR. MARK S WALSTROM L.P.C. (NPI 1780750844) is an individual professional provider in Ada, Michigan, licensed in Michigan (6401003116) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1780750844
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MARK S WALSTROMCredential: L.P.C.
Location Address967 SPAULDING AVE SE, SUITE EAda, MI 49301-3700
Mailing Address967 Spaulding Ave Se, Suite EAda, MI 49301-3700 · (616) 633-2170
Phone(616) 633-2170
Sole ProprietorYes
Enumeration DateNovember 28, 2006
Last NPPES UpdateJanuary 26, 2009
✔ NPI 1780750844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401003116
967 SPAULDING AVE SE, Ada, MI 49301
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Other Identifiers 1

Medicare UPIN7909106890MI

Other Providers at the Same Location NPPES 9

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

DR. KATHLEEN JANDERNOA CRAMER PHD, L.P.
Psychologist (Clinical)
967 SPAULDING AVE SE
ADA, MI 49301
Kent County (616) 464-3424
KJC323PLLC
Psychologist (Clinical)
967 SPAULDING AVE SE, SUITE E
ADA, MI 49301
Kent County (616) 464-4324
DR. JULIA A. MOHR, PLC
Psychologist
967 SPAULDING AVE SE, SUITE E
ADA, MI 49301
Kent County (616) 956-9565
DR. JULIA A MOHR PSY.D.
Psychologist
967 SPAULDING AVE SE, SUITE E
ADA, MI 49301
Kent County (616) 956-9565
DR. RICHARD RALEIGH RAUBOLT PH.D.
Psychologist
967 SPAULDING AVE SE, SUITE D
ADA, MI 49301
Kent County (616) 940-1100
ROBERT LABADIE FUNARO ED.D.
Psychologist (Clinical)
967 SPAULDING AVE SE, SUITE E
ADA, MI 49301
Kent County (616) 822-6718
MR. FRANK STANLEY RENBERG L.L.P.
Psychologist
967 SPAULDING AVE SE, SUITE D
ADA, MI 49301
Kent County (616) 550-4789
CLEARVIEW COUNSELING LLC
Social Worker (Clinical)
967 SPAULDING AVE SE
ADA, MI 49301
Kent County (616) 422-9120

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 Mark Walstrom's NPI number?

The NPI number for Mark Walstrom is 1780750844. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Mark Walstrom located?

Mark Walstrom practices at 967 Spaulding Ave SE Suite E, Ada, MI 49301. The listed phone number is (616) 633-2170.

What is Mark Walstrom'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 Mark Walstrom was last updated on January 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.