Kelly Lynn Ibarra, LPC in Byron Center, MI - Medicare Counselor Provider

Kelly Lynn Ibarra, LPC is a medicare enrolled "Counselor" provider in Byron Center, Michigan. Her current practice location is 1239 76th St Sw Ste H4, Byron Center, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 780-1243.

Kelly Lynn Ibarra is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063075562.

Contact Information

	Kelly Lynn Ibarra, LPC
	1239 76th St Sw Ste H4, Byron Center, MI 49315-7921
	(616) 780-1243
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Lynn Ibarra
Gender	Female
Speciality	Counselor
Location	1239 76th St Sw Ste H4, Byron Center, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063075562
Provider Enumeration Date: 04/19/2019
Last Update Date: 02/08/2024

Medicare PECOS Information:

PECOS PAC ID: 2567806839
Enrollment ID: I20240215000977

Medical Identifiers

Medical identifiers for Kelly Lynn Ibarra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063075562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(Michigan)	Secondary
101Y00000X	Counselor	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Lynn Ibarra allows following entities to bill medicare on her behalf.

Entity Name	Grand Rapids Counseling And Consultation Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205544087 PECOS PAC ID: 1658715925 Enrollment ID: O20240215000886

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Lynn Ibarra is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Lynn Ibarra, LPC 1239 76th St Sw Ste H4, Byron Center, MI 49315-7921 Ph: (616) 780-1243	Kelly Lynn Ibarra, LPC 1239 76th St Sw Ste H4, Byron Center, MI 49315-7921 Ph: (616) 780-1243

Reviews and Comments

Counselor in Byron Center, MI

Lyle L. Labardee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2411 Byron Station Dr., Sw, Suite 3, Byron Center, MI 49315 Phone: 616-724-6943
Amanda Nicole Walma, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 769 Sun Stone Dr Sw, Byron Center, MI 49315 Phone: 616-307-7509
Michaela Dawn Ayew-ew, LPC, PMH-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 84th St Sw, Byron Center, MI 49315 Phone: 616-222-0631
Mrs. Sharon Wassenar, LPC Counselor Medicare: Medicare Enrolled Practice Location: 325 84th St Sw Ste 103, Byron Center, MI 49315 Phone: 616-805-3660
Brittany Dykstra, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 84th St Sw Ste 102, Byron Center, MI 49315 Phone: 616-805-3660 Fax: 616-805-3631
Ms. Naomi Beth Grimm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7791 Byron Center Ave Sw, Byron Center, MI 49315 Phone: 616-209-8669 Fax: 888-336-9355

Kelly Lynn Ibarra, LPC - Medicare Counselor in Byron Center, MI