IndividualActive
Madison Ingersoll
NPI 1396554234 · Mental Health Counselor · Grand Rapids, MI
Provider details
- NPI number
- 1396554234
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6451023964 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1486 44th St Se Ste 100
Grand Rapids, MI 49508-4633
Phone: (616) 320-1096
Street-level locationGet directions
Mailing address
3920 Kiowa Ct Sw
Grandville, MI 49418-1841
Additional practice locations (1)
- 3920 Kiowa Ct SwGrandville, MI 49418-1841Phone: (616) 320-1096
Registry dates
- Enumerated
- 2025-01-06
- Last updated
- 2025-01-06
- Certified
- 2025-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.