Healthcare Provider Details

I. General information

NPI: 1790522332
Provider Name (Legal Business Name): STILLPOINT COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2024
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3215 EAGLE CREST DR NE STE 100
GRAND RAPIDS MI
49525-7005
US

IV. Provider business mailing address

7034 HERRINGTON AVE NE
BELMONT MI
49306-9277
US

V. Phone/Fax

Practice location:
  • Phone: 616-209-8745
  • Fax:
Mailing address:
  • Phone: 616-460-0871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN REISTERER
Title or Position: OWNER
Credential: LPC
Phone: 616-460-0871