MRS. RIA ANASTASIA NIEBOER LMSW CAADC ADS NPI 1629356175

NPI Information

NPI: 1629356175
Provider Name: MRS. RIA ANASTASIA NIEBOER, LMSW, CAADC, ADS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
926 WASHINGTON AVE
SUITE 210
HOLLAND, MI
ZIP 49423
Phone: (616) 820-3780
Get Directions

MRS. Ria Anastasia Nieboer, LMSW, CAADC, ADS is an addiction (substance use disorder) counselor in Holland, MI. MRS. Ria Anastasia Nieboer, LMSW, CAADC, ADS NPI is 1629356175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

926 WASHINGTON AVE
SUITE 210
HOLLAND, MI
ZIP 49423-725
Phone: (616) 820-3780
Fax: (616) 820-3785

The NPI 1629356175 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/2/2011 and was last updated on 10/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes
2	101YM0800X	Counselor	Mental Health			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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