Individual provider · Type 1 NPI

Timothy Jon Boersma

Counselor · Caledonia, MI

NPI number 1023971801 Active

Practice location

6463 Leisure Creek Dr SE
Caledonia, MI 49316-8992

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6451023947 (MI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1023971801

Timothy Jon Boersma's National Provider Identifier is 1023971801, issued on Dec 8, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Caledonia, MI. The record was last updated on Dec 8, 2025.