Individual provider · Type 1 NPI

Jonathan Juris Mikelsons, LPC, SCL

Counselor · Grand Rapids, MI

NPI number 1558136556 Active

Practice location

360 E Beltline Ave NE Ste 100
Grand Rapids, MI 49506-1214

Mailing address

333 Bridge St NW Ste 1120
Grand Rapids, MI 49504-5356

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X6401225604 (MI)
Mental Health Counselor 101YM0800X6401225604 (MI)
Counselor Primary 101Y00000X6401225604 (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 1558136556

Jonathan Juris Mikelsons, LPC, SCL's National Provider Identifier is 1558136556, issued on Nov 20, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 15, 2025.