Nicholas Scott Brennfoerder, LPC in Spring Lake, MI

Nicholas Scott Brennfoerder, LPC is a medicare enrolled "Counselor - Professional" provider in Spring Lake, Michigan. His current practice location is 17325 Van Wagoner Rd, Spring Lake, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 847-5145.

Nicholas Scott Brennfoerder is licensed to practice in Michigan (license number 6401017306) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629473939.

Contact Information

	Nicholas Scott Brennfoerder, LPC
	17325 Van Wagoner Rd, Spring Lake, MI 49456-9702
	(616) 847-5145
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Scott Brennfoerder
Gender	Male
Speciality	Counselor - Professional
Location	17325 Van Wagoner Rd, Spring Lake, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629473939
Provider Enumeration Date: 10/29/2014
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 8426409350
Enrollment ID: I20240104003848

Medical Identifiers

Medical identifiers for Nicholas Scott Brennfoerder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629473939	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180011577 (Illinois)	Secondary
101YP2500X	Counselor - Professional	6401017306 (Michigan)	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. Nicholas Scott Brennfoerder allows following entities to bill medicare on his behalf.

Entity Name	Pine Rest Christian Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780695411 PECOS PAC ID: 4981506508 Enrollment ID: O20040213000149

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. Nicholas Scott Brennfoerder 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
Nicholas Scott Brennfoerder, LPC 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000	Nicholas Scott Brennfoerder, LPC 17325 Van Wagoner Rd, Spring Lake, MI 49456-9702 Ph: (616) 847-5145

Reviews and Comments

Counselor in Spring Lake, MI

Mr. Mark E Olsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130
Mr. Douglas Alan Wilson, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 231-799-8182 Fax: 616-296-2148
Kyle John-arthur Parcher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130
Leeanna April Peter, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17224 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 616-296-2130
Amanda Vergin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 N Buchanan St, Spring Lake, MI 49456 Phone: 586-924-0125
Dana Leigh Hood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17214 Van Wagoner Rd, Spring Lake, MI 49456 Phone: 231-670-0663
Ms. Gretchen Lawrence, LPC Counselor Medicare: Medicare Enrolled Practice Location: 109 S Jackson St, Spring Lake, MI 49456 Phone: 616-842-0405 Fax: 616-842-0405

Nicholas Scott Brennfoerder, LPC - Medicare Counselor in Spring Lake, MI