Healthcare Provider Details

I. General information

NPI: 1275499600
Provider Name (Legal Business Name): HUMMINGBIRD COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

534 FOUNTAIN ST NE
GRAND RAPIDS MI
49503-3422
US

IV. Provider business mailing address

534 FOUNTAIN ST NE
GRAND RAPIDS MI
49503-3422
US

V. Phone/Fax

Practice location:
  • Phone: 616-284-1573
  • Fax: 616-456-1324
Mailing address:
  • Phone: 616-284-1573
  • Fax: 616-456-1324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KRISTINA MARIE THOMPSON
Title or Position: THERAPIST
Credential: MA, LLPC
Phone: 616-284-1573