Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jonathan Athearn, TLLP

Individual provider Counseling Psychologist · NPI 1558588806

Mr. Jonathan Athearn, TLLP is a Counseling Psychologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

1331 Lake Dr SE
Grand Rapids, MI 49506-1674
Phone: (616) 459-7215
Fax: (616) 235-0979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 6301013388 (MI)

Record details

NPI number1558588806
Entity typeIndividual (Type 1)
GenderMale
Credentials TLLP
Sole proprietorNo
NPI enumeratedApril 19, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4229 Homestead, Wayland, MI 49348-8975

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