| Counseling Center Of West Michigan, Llc | |
|
360 E Beltline Ave Ne Ste 100 Grand Rapids MI 49506-1214 | |
| (616) 805-3660 | |
| (616) 808-3631 |
| Full Name | Counseling Center Of West Michigan, Llc |
|---|---|
| Speciality | Counselor |
| Location | 360 E Beltline Ave Ne Ste 100, Grand Rapids, Michigan |
| Authorized Official Name and Position | Sarah E Timmer (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6168053660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Center Of West Michigan, Llc 333 Bridge St Nw Ste 1120 Grand Rapids MI 49504-5356 Ph: (616) 805-3660 | Counseling Center Of West Michigan, Llc 360 E Beltline Ave Ne Ste 100 Grand Rapids MI 49506-1214 Ph: (616) 805-3660 |
| NPI Number | 1437610730 |
|---|---|
| Provider Enumeration Date | 03/28/2019 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Medicare PECOS PAC ID | 9234469255 |
|---|---|
| Medicare Enrollment ID | O20190918000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437610730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lee C Deckrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891800868 PECOS PAC ID: 0143287086 Enrollment ID: I20041213000735 |
| Provider Name | Carey E Peabody |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194823906 PECOS PAC ID: 2163474859 Enrollment ID: I20050210000356 |
| Provider Name | Melissa Ann Budzynski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720108632 PECOS PAC ID: 4789627522 Enrollment ID: I20050602001168 |
| Provider Name | Nancy L Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285720086 PECOS PAC ID: 4789617614 Enrollment ID: I20050913000028 |
| Provider Name | Kristen M Zoetewey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073911608 PECOS PAC ID: 5294749057 Enrollment ID: I20060131000844 |
| Provider Name | Marlise Bakker Van Zytveld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235152471 PECOS PAC ID: 5496761199 Enrollment ID: I20060306000223 |
| Provider Name | Susan M Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720164262 PECOS PAC ID: 4688740707 Enrollment ID: I20080913000032 |
| Provider Name | Sara E Vandebyl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427202704 PECOS PAC ID: 4183761844 Enrollment ID: I20091028000770 |
| Provider Name | Jennifer R Bevington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407906753 PECOS PAC ID: 2365579273 Enrollment ID: I20100426000330 |
| Provider Name | Amy F Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841518453 PECOS PAC ID: 8123159225 Enrollment ID: I20100707000299 |
| Provider Name | Joanne L Kolean |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154350643 PECOS PAC ID: 4284821018 Enrollment ID: I20101206001290 |
| Provider Name | Alysia M Dendrinos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922309947 PECOS PAC ID: 5496938706 Enrollment ID: I20110324000179 |
| Provider Name | Laurie Lynn Dix Schmit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144527516 PECOS PAC ID: 5294912259 Enrollment ID: I20110601000107 |
| Provider Name | Kourtnee J Naylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689964397 PECOS PAC ID: 5395922272 Enrollment ID: I20110601000461 |
| Provider Name | Danielle L Drumm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366730525 PECOS PAC ID: 3274703038 Enrollment ID: I20110902000562 |
| Provider Name | Sara N Patzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346523131 PECOS PAC ID: 7012181811 Enrollment ID: I20111112000077 |
| Provider Name | Amy R Dahl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134268238 PECOS PAC ID: 8426217225 Enrollment ID: I20120314000695 |
| Provider Name | Kathleen R Hornacek-ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679722128 PECOS PAC ID: 5799962601 Enrollment ID: I20120328000476 |
| Provider Name | Michael Lee Jankowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295004448 PECOS PAC ID: 9739341041 Enrollment ID: I20120503000156 |
| Provider Name | Mary Balkon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376811844 PECOS PAC ID: 6002070695 Enrollment ID: I20120611000715 |
| Provider Name | Jennifer Michalak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487923850 PECOS PAC ID: 4284898511 Enrollment ID: I20120615000589 |
| Provider Name | Erica L Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396019204 PECOS PAC ID: 8123272242 Enrollment ID: I20130125000132 |
| Provider Name | Daniel E Cooke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952583791 PECOS PAC ID: 8527293869 Enrollment ID: I20131023000303 |
| Provider Name | Julie M Marsman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871862102 PECOS PAC ID: 8820226897 Enrollment ID: I20140121000730 |
| Provider Name | Caroline A Boynton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750794939 PECOS PAC ID: 4587889126 Enrollment ID: I20140715001965 |
| Provider Name | Stephanie A Huizinga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992086268 PECOS PAC ID: 0244458271 Enrollment ID: I20140904000462 |
| Provider Name | Jordyn Elizabeth Mccormick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245660430 PECOS PAC ID: 7214259639 Enrollment ID: I20141212002223 |
| Provider Name | Mindy E Milliron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700125184 PECOS PAC ID: 5092038588 Enrollment ID: I20150109000279 |
| Provider Name | Jacques Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841482791 PECOS PAC ID: 1850616020 Enrollment ID: I20150210001341 |
| Provider Name | Benjamin Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508116013 PECOS PAC ID: 0941526685 Enrollment ID: I20150224000825 |
| Provider Name | Christine A Mushlock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245578590 PECOS PAC ID: 9638499577 Enrollment ID: I20150518000987 |
| Provider Name | Kristen R Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568725653 PECOS PAC ID: 2668786203 Enrollment ID: I20150727002548 |
| Provider Name | Ashley Kristin Castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821465790 PECOS PAC ID: 6204143688 Enrollment ID: I20150917000341 |
| Provider Name | Stacia L Fridley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386933190 PECOS PAC ID: 9537476916 Enrollment ID: I20150917000488 |
| Provider Name | Taylor Pettit Rademaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952739112 PECOS PAC ID: 6800197583 Enrollment ID: I20151222002454 |
| Provider Name | Jean A Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306210745 PECOS PAC ID: 5597068148 Enrollment ID: I20160114002376 |
| Provider Name | Dawn R Walcott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174989933 PECOS PAC ID: 3870897598 Enrollment ID: I20160201001150 |
| Provider Name | Kristina J Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316204852 PECOS PAC ID: 6901105543 Enrollment ID: I20160503000414 |
| Provider Name | Melanie A Zerndt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487915971 PECOS PAC ID: 2769772284 Enrollment ID: I20160610001868 |
| Provider Name | Kelsey J Lenhart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881087468 PECOS PAC ID: 7315230265 Enrollment ID: I20160729000934 |
| Provider Name | Rachel Marie Lettinga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558700484 PECOS PAC ID: 8820384233 Enrollment ID: I20160912001601 |
| Provider Name | Jessica Warner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649673591 PECOS PAC ID: 5193005650 Enrollment ID: I20161130000039 |
| Provider Name | Nancy L Dock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023266301 PECOS PAC ID: 4183904550 Enrollment ID: I20161201001761 |
| Provider Name | Ashley Mcguire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407259104 PECOS PAC ID: 7214213776 Enrollment ID: I20170418000102 |
| Provider Name | Desiree M Andersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487031258 PECOS PAC ID: 9436427903 Enrollment ID: I20170626001276 |
| Provider Name | Jean Alger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578865200 PECOS PAC ID: 6002188448 Enrollment ID: I20170821001802 |
| Provider Name | Melinda Holliday |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962949909 PECOS PAC ID: 1254606064 Enrollment ID: I20171004002332 |
| Provider Name | Christa Mae Huston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306294616 PECOS PAC ID: 3274809967 Enrollment ID: I20171025000315 |
| Provider Name | Anupama R Allington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164856357 PECOS PAC ID: 3779849328 Enrollment ID: I20171114003225 |
| Provider Name | Sarah A Jongsma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831547280 PECOS PAC ID: 4587920186 Enrollment ID: I20171115001499 |
| Provider Name | Amy Joy Bukala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710492491 PECOS PAC ID: 9133487242 Enrollment ID: I20171219001942 |
| Provider Name | Lindsay M Blair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144684267 PECOS PAC ID: 4082906847 Enrollment ID: I20180103000364 |
| Provider Name | Jennifer L Gustafson-stephenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407009046 PECOS PAC ID: 6204128044 Enrollment ID: I20180122001987 |
| Provider Name | Tristale Pierce Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346621356 PECOS PAC ID: 1052670866 Enrollment ID: I20180123002582 |
| Provider Name | Janet C Goldner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336636505 PECOS PAC ID: 6608131248 Enrollment ID: I20180531000743 |
| Provider Name | Paul Michael Kiger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659635647 PECOS PAC ID: 3971852831 Enrollment ID: I20180827000690 |
| Provider Name | Jennifer L Wyn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497208664 PECOS PAC ID: 1557605474 Enrollment ID: I20181204002451 |
| Provider Name | Cindy Lou Newberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043786700 PECOS PAC ID: 0749524502 Enrollment ID: I20181205000643 |
| Provider Name | Sarah J Riemersma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104076967 PECOS PAC ID: 9436498730 Enrollment ID: I20190305000250 |
| Provider Name | Susan E Mark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346607090 PECOS PAC ID: 0749520344 Enrollment ID: I20190318002679 |
| Provider Name | Michelle M Wohlfert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225453103 PECOS PAC ID: 3173865144 Enrollment ID: I20190424000858 |
| Provider Name | Flavio M Dasilva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053750695 PECOS PAC ID: 2264774124 Enrollment ID: I20190425002437 |
| Provider Name | Jody L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447615067 PECOS PAC ID: 5597007302 Enrollment ID: I20190426001814 |
| Provider Name | Christopher Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407399488 PECOS PAC ID: 9234471962 Enrollment ID: I20190430000928 |
| Provider Name | Cheryl A. Corcoran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770996043 PECOS PAC ID: 2163755034 Enrollment ID: I20190607000960 |
| Provider Name | David J Hefferan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124552278 PECOS PAC ID: 9234466442 Enrollment ID: I20190812000807 |
| Provider Name | Brandon M Goeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427402999 PECOS PAC ID: 0042549826 Enrollment ID: I20190903002834 |
| Provider Name | Nicholas J Comai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164814653 PECOS PAC ID: 1850620543 Enrollment ID: I20190905001260 |
| Provider Name | Chantelle M Benko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720355563 PECOS PAC ID: 8628308897 Enrollment ID: I20191001003161 |
| Provider Name | Kimberly D Stratton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275805756 PECOS PAC ID: 6406187236 Enrollment ID: I20191009002297 |
| Provider Name | Moira M Monaghan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043876808 PECOS PAC ID: 0648501478 Enrollment ID: I20191009002399 |
| Provider Name | Kalie C Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669820403 PECOS PAC ID: 2769714831 Enrollment ID: I20191023002095 |
| Provider Name | Emily L Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134698962 PECOS PAC ID: 5597197616 Enrollment ID: I20191112000463 |
| Provider Name | Sarah M Wolf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427408467 PECOS PAC ID: 4688007164 Enrollment ID: I20191216000093 |
| Provider Name | Erin E Hess-eising |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023367448 PECOS PAC ID: 0547488686 Enrollment ID: I20191217000646 |
| Provider Name | Lehanna Elizabeth Hardy Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639535313 PECOS PAC ID: 9638507122 Enrollment ID: I20200316002132 |
| Provider Name | Angela M Mason-maranda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326584483 PECOS PAC ID: 4486082609 Enrollment ID: I20200320001974 |
| Provider Name | Barbara Ann Mcclurg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215561154 PECOS PAC ID: 1557799558 Enrollment ID: I20200324003517 |
| Provider Name | Whitney Strain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992210702 PECOS PAC ID: 8426486457 Enrollment ID: I20200325000909 |
| Provider Name | Joyce L Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083059141 PECOS PAC ID: 2567891203 Enrollment ID: I20200401002149 |
| Provider Name | Lindsay Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285032920 PECOS PAC ID: 2769811330 Enrollment ID: I20200402000404 |
| Provider Name | Cassandra M Degraaf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629505268 PECOS PAC ID: 7719317486 Enrollment ID: I20200420003034 |
| Provider Name | Charlie Gantt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346861440 PECOS PAC ID: 8426470865 Enrollment ID: I20200612000759 |
| Provider Name | Ada M Brosier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386901163 PECOS PAC ID: 0244653418 Enrollment ID: I20200706003134 |
| Provider Name | Natalie Jane Blauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841855178 PECOS PAC ID: 2961821202 Enrollment ID: I20201006001837 |
| Provider Name | Jody Ingle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609302686 PECOS PAC ID: 5597186296 Enrollment ID: I20201012000378 |
| Provider Name | Melissa L Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922566819 PECOS PAC ID: 2567882145 Enrollment ID: I20201020003439 |
| Provider Name | Benjamin S Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306299276 PECOS PAC ID: 9436560398 Enrollment ID: I20201124003146 |
| Provider Name | Carly R Roach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689066136 PECOS PAC ID: 8123439080 Enrollment ID: I20201124003348 |
| Provider Name | Susan T Glover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306444070 PECOS PAC ID: 8426460247 Enrollment ID: I20201218000549 |
| Provider Name | Robert E Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215143920 PECOS PAC ID: 2961815451 Enrollment ID: I20201229002962 |
| Provider Name | Joshua Joseph Horning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295239853 PECOS PAC ID: 8022422682 Enrollment ID: I20210122001857 |
| Provider Name | Jennifer L Bauer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295044451 PECOS PAC ID: 1850705252 Enrollment ID: I20210126002627 |
| Provider Name | Stephanie M Kokot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164030870 PECOS PAC ID: 3870907173 Enrollment ID: I20210128000181 |
| Provider Name | Clare Susan Deveau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285224386 PECOS PAC ID: 4385058247 Enrollment ID: I20210204001052 |
| Provider Name | Julie A Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538619002 PECOS PAC ID: 3375951346 Enrollment ID: I20210413001743 |
| Provider Name | Drew Kingsbury Martini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437604717 PECOS PAC ID: 7113282138 Enrollment ID: I20210504001191 |
| Provider Name | Susan E Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578649349 PECOS PAC ID: 1355750167 Enrollment ID: I20210507000844 |
| Provider Name | Shyra Ayn Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902459118 PECOS PAC ID: 9133538895 Enrollment ID: I20210510000959 |
| Provider Name | Ananya Avinash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225639560 PECOS PAC ID: 0446669139 Enrollment ID: I20210510002118 |
| Provider Name | Juliet Jane Rees |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841891512 PECOS PAC ID: 1355750969 Enrollment ID: I20210512001367 |
| Provider Name | Teah M Waterman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508301987 PECOS PAC ID: 7416238266 Enrollment ID: I20210512002842 |
| Provider Name | Samantha J Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255678041 PECOS PAC ID: 5597174078 Enrollment ID: I20210513000942 |
| Provider Name | Mindy Lee Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043854813 PECOS PAC ID: 0648689091 Enrollment ID: I20210514001146 |
| Provider Name | Derrin Dwayne Drake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427405703 PECOS PAC ID: 1456760735 Enrollment ID: I20210518000980 |
| Provider Name | Amy Depotty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932710720 PECOS PAC ID: 0941609150 Enrollment ID: I20210520000814 |
| Provider Name | Amber Bouwkamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497278212 PECOS PAC ID: 0042619959 Enrollment ID: I20210526001314 |
| Provider Name | Debbie A Letourneau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609290972 PECOS PAC ID: 6507266434 Enrollment ID: I20210615002236 |
| Provider Name | Theresa Nicole Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346708450 PECOS PAC ID: 5193127637 Enrollment ID: I20210707001297 |
| Provider Name | Nicole Lynn Devries |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164091567 PECOS PAC ID: 4183026388 Enrollment ID: I20210712000093 |
| Provider Name | Julie Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487224820 PECOS PAC ID: 9335542620 Enrollment ID: I20210723002311 |
| Provider Name | Maija J Grisa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649787318 PECOS PAC ID: 9537562657 Enrollment ID: I20210728000215 |
| Provider Name | Zachary Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831638378 PECOS PAC ID: 7810390895 Enrollment ID: I20210728002602 |
| Provider Name | Brett Grabiel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154826253 PECOS PAC ID: 9830592666 Enrollment ID: I20210730000831 |
| Provider Name | Roshel Catia Stafford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912457623 PECOS PAC ID: 4880098458 Enrollment ID: I20210803003891 |
| Provider Name | Laura Marie Havey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366918013 PECOS PAC ID: 2466857362 Enrollment ID: I20210816001686 |
| Provider Name | Cathryn L Sims |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528733268 PECOS PAC ID: 8729483367 Enrollment ID: I20210820000503 |
| Provider Name | Gina Magri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881960649 PECOS PAC ID: 6608271994 Enrollment ID: I20210825001284 |
| Provider Name | Kelli Susan Postema |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871159194 PECOS PAC ID: 1658776976 Enrollment ID: I20210825002295 |
| Provider Name | Alexis Marie Jacobson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225687973 PECOS PAC ID: 6406252444 Enrollment ID: I20210831001458 |
| Provider Name | Adraya G Garrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316568850 PECOS PAC ID: 3577969906 Enrollment ID: I20210909001944 |
| Provider Name | Deric Arnson Chiles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699167775 PECOS PAC ID: 5395142525 Enrollment ID: I20210930001076 |
| Provider Name | Susan L Dice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336727551 PECOS PAC ID: 2961890066 Enrollment ID: I20211021003014 |
| Provider Name | Katie L Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306509013 PECOS PAC ID: 5193113595 Enrollment ID: I20211103001748 |
| Provider Name | Lisa Ann Bowman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295271609 PECOS PAC ID: 2769870187 Enrollment ID: I20211103002443 |
| Provider Name | Jamal Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497148175 PECOS PAC ID: 2668861642 Enrollment ID: I20211112000951 |
| Provider Name | Stephanie Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053077842 PECOS PAC ID: 5193114916 Enrollment ID: I20211117002106 |
| Provider Name | Aubrey Ann Welniak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932754694 PECOS PAC ID: 9537559083 Enrollment ID: I20211124001183 |
| Provider Name | Jeremy Adam Mccourt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083382808 PECOS PAC ID: 2466843214 Enrollment ID: I20220105000971 |
| Provider Name | Karin S Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205177367 PECOS PAC ID: 7416349147 Enrollment ID: I20220110000796 |
| Provider Name | Sydney A Sturm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669837712 PECOS PAC ID: 1052704897 Enrollment ID: I20220131001781 |
| Provider Name | Kelsey Quigley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265087951 PECOS PAC ID: 4688067127 Enrollment ID: I20220207000458 |
| Provider Name | Lyndsay Elise Greenfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992350078 PECOS PAC ID: 5991199721 Enrollment ID: I20220222000240 |
| Provider Name | Julie N Schatz Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114467917 PECOS PAC ID: 0749674281 Enrollment ID: I20220228001802 |
| Provider Name | Rhiannon White-schramski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649671553 PECOS PAC ID: 6800280934 Enrollment ID: I20220305000072 |
| Provider Name | Kevin Sleboda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093186645 PECOS PAC ID: 5890180723 Enrollment ID: I20220311001012 |
| Provider Name | Catherine Jo Risley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124401161 PECOS PAC ID: 9436544806 Enrollment ID: I20220322000670 |
| Provider Name | Whitney Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487002101 PECOS PAC ID: 0547655722 Enrollment ID: I20220325000836 |
| Provider Name | Susan Missad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376058453 PECOS PAC ID: 4688069875 Enrollment ID: I20220325001151 |
| Provider Name | Sarah Peffers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659764827 PECOS PAC ID: 5991192668 Enrollment ID: I20220427001582 |
| Provider Name | Sara Lynn Haggerty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619621414 PECOS PAC ID: 2961880125 Enrollment ID: I20220601000665 |
| Provider Name | Emily Rachel Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407442247 PECOS PAC ID: 7810378395 Enrollment ID: I20220714001734 |
| Provider Name | Kathryn Emily Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568594612 PECOS PAC ID: 8426439936 Enrollment ID: I20220714003302 |
| Provider Name | Elizabeth Maitner Nielsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982256087 PECOS PAC ID: 6507248101 Enrollment ID: I20220728003034 |
| Provider Name | Roslyn Terese Gabriele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114224862 PECOS PAC ID: 7618359811 Enrollment ID: I20220804002357 |
| Provider Name | Rebecca Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326617234 PECOS PAC ID: 5395129514 Enrollment ID: I20220907000764 |
| Provider Name | Sarah Marie Dolecki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861047763 PECOS PAC ID: 4688058811 Enrollment ID: I20220907001071 |
| Provider Name | Stephanie Smedley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538890116 PECOS PAC ID: 4587031604 Enrollment ID: I20221102002590 |
| Provider Name | Kerry Muller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790101962 PECOS PAC ID: 8527436377 Enrollment ID: I20221129000426 |
| Provider Name | Kimberly Case |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558758102 PECOS PAC ID: 3375912884 Enrollment ID: I20221205002930 |
| Provider Name | Rachel Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225523418 PECOS PAC ID: 3375913932 Enrollment ID: I20221224000134 |
| Provider Name | Chelsea Eisenlohr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649849787 PECOS PAC ID: 9436529252 Enrollment ID: I20230111002618 |
| Provider Name | Holly Marie Osbeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811615248 PECOS PAC ID: 2264803543 Enrollment ID: I20230124002740 |
| Provider Name | Stacie Marie Rublein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265188965 PECOS PAC ID: 6800267980 Enrollment ID: I20230127002197 |
| Provider Name | Morgan Fegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952958191 PECOS PAC ID: 7911379755 Enrollment ID: I20230204000167 |
| Provider Name | Alexandrea Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881206167 PECOS PAC ID: 4183096134 Enrollment ID: I20230221000969 |
| Provider Name | Robert Michael Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134829658 PECOS PAC ID: 5597139675 Enrollment ID: I20230314000835 |
| Provider Name | Leah Mackus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386918910 PECOS PAC ID: 7618341678 Enrollment ID: I20230315001265 |
| Provider Name | Erika Ree Mccombs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639411341 PECOS PAC ID: 8628442696 Enrollment ID: I20230315001620 |
| Provider Name | Shelby Katherine Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427615251 PECOS PAC ID: 9638543515 Enrollment ID: I20230315002022 |
| Provider Name | Joseph Daniel Lenihan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760893838 PECOS PAC ID: 4486080769 Enrollment ID: I20230320001108 |
| Provider Name | Rebecca Blasen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922709468 PECOS PAC ID: 2062886526 Enrollment ID: I20230323001850 |
| Provider Name | Philip Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942738216 PECOS PAC ID: 1850766288 Enrollment ID: I20230417001263 |
| Provider Name | Erika Dawn Betts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396430872 PECOS PAC ID: 2163887258 Enrollment ID: I20230425000173 |
| Provider Name | Shelby Marie Cavender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427691963 PECOS PAC ID: 2163887910 Enrollment ID: I20230429000026 |
| Provider Name | Corey John Iams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770174278 PECOS PAC ID: 1254796972 Enrollment ID: I20230503000543 |
| Provider Name | Theresa Maria Zaszczurynski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073047122 PECOS PAC ID: 4587022132 Enrollment ID: I20230614001886 |
| Provider Name | Julia Marie Boyak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891317483 PECOS PAC ID: 1951765619 Enrollment ID: I20230913002719 |
| Provider Name | Brianna Marie Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558944199 PECOS PAC ID: 6103280839 Enrollment ID: I20230914001231 |
| Provider Name | Tarah Sue Okarski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558828780 PECOS PAC ID: 7517312341 Enrollment ID: I20231013000241 |
| Provider Name | Fawn Cichoski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912305459 PECOS PAC ID: 7012362726 Enrollment ID: I20231016003499 |
| Provider Name | Clara Starr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730960956 PECOS PAC ID: 4082060918 Enrollment ID: I20231027002132 |
| Provider Name | Ashley Anne Paxson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295305464 PECOS PAC ID: 1759737497 Enrollment ID: I20231101000204 |
| Provider Name | Joshua Joel Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124204029 PECOS PAC ID: 6204283211 Enrollment ID: I20231114000386 |
| Provider Name | Amanda M Stoffers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427324029 PECOS PAC ID: 0345698965 Enrollment ID: I20231121000301 |
| Provider Name | Susan Wilcome |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932586195 PECOS PAC ID: 4284083973 Enrollment ID: I20231206002618 |
| Provider Name | Christine Wagenfuehr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326636838 PECOS PAC ID: 1759730195 Enrollment ID: I20231212000304 |
| Provider Name | Amanda Michelle Ciluffo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467880948 PECOS PAC ID: 4789033051 Enrollment ID: I20231212001853 |
| Provider Name | Bethany Gravert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295465607 PECOS PAC ID: 2062861362 Enrollment ID: I20231212003009 |
| Provider Name | Katrina Odenigbo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376944520 PECOS PAC ID: 9335532878 Enrollment ID: I20231214001664 |
| Provider Name | Lainey Billock-thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043889801 PECOS PAC ID: 8123477239 Enrollment ID: I20231214003288 |
| Provider Name | Joshua Colby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093943169 PECOS PAC ID: 4789033796 Enrollment ID: I20231214003644 |
| Provider Name | Cara Dayne Coleman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457840530 PECOS PAC ID: 6800245804 Enrollment ID: I20231216000179 |
| Provider Name | Geoffrey Alan Weaver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275043994 PECOS PAC ID: 1052760956 Enrollment ID: I20231216000364 |
| Provider Name | Christine Nicole Lance |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811593098 PECOS PAC ID: 6204285133 Enrollment ID: I20231218001248 |
| Provider Name | Sarah Elizabeth Nyboer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225804255 PECOS PAC ID: 7517317241 Enrollment ID: I20231221001379 |
| Provider Name | Aubri Elise Bates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154779478 PECOS PAC ID: 8123478864 Enrollment ID: I20231221001512 |
| Provider Name | Kasey Sauder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124651799 PECOS PAC ID: 8224488838 Enrollment ID: I20231222000940 |
| Provider Name | Sharon Wassenar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063908440 PECOS PAC ID: 9335599984 Enrollment ID: I20231222002235 |
| Provider Name | Pamela J Brenner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154020915 PECOS PAC ID: 2466802921 Enrollment ID: I20231223000158 |
| Provider Name | Melissa Ann Potvin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871749333 PECOS PAC ID: 7911357140 Enrollment ID: I20231229001032 |
| Provider Name | June Kuiper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164027066 PECOS PAC ID: 8022468156 Enrollment ID: I20240102001304 |
| Provider Name | Becky Egan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215412002 PECOS PAC ID: 4486005485 Enrollment ID: I20240103003821 |
| Provider Name | Lisa Marie Boomers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477900819 PECOS PAC ID: 0840641858 Enrollment ID: I20240103004235 |
| Provider Name | Lisa Nicole Arndt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477997385 PECOS PAC ID: 6002267903 Enrollment ID: I20240104002507 |
| Provider Name | Theodore J Wohlford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649783499 PECOS PAC ID: 2961853767 Enrollment ID: I20240105001775 |
| Provider Name | Kara L Savage |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982276317 PECOS PAC ID: 2365893120 Enrollment ID: I20240105003897 |
| Provider Name | Kimberly Ann Hoke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497310221 PECOS PAC ID: 6800247370 Enrollment ID: I20240109002450 |
| Provider Name | Jamie Lee Dickerson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417385733 PECOS PAC ID: 0648621912 Enrollment ID: I20240111000316 |
| Provider Name | Michael T. Mcmahon |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1457545162 PECOS PAC ID: 2769833839 Enrollment ID: I20240112003060 |
| Provider Name | Courtney Lyn Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053617100 PECOS PAC ID: 9739531450 Enrollment ID: I20240118002207 |
| Provider Name | Judith K Kievit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427744093 PECOS PAC ID: 4587016902 Enrollment ID: I20240122000406 |
| Provider Name | Alyssa Koopman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487423612 PECOS PAC ID: 2668824970 Enrollment ID: I20240122003957 |
| Provider Name | Michael Wyczynski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669791257 PECOS PAC ID: 9931550175 Enrollment ID: I20240123000803 |
| Provider Name | Mindy Lynn-foster Hopke |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1801223870 PECOS PAC ID: 5890148753 Enrollment ID: I20240126001165 |
| Provider Name | Karen Dawn Appleton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295037745 PECOS PAC ID: 5799138574 Enrollment ID: I20240129000954 |
| Provider Name | Brian Ken Fujii |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396963252 PECOS PAC ID: 1355794918 Enrollment ID: I20240130003255 |
| Provider Name | Sarah Elizabeth Kamba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306561170 PECOS PAC ID: 5890138176 Enrollment ID: I20240205000980 |
| Provider Name | Jessica Lee Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104352244 PECOS PAC ID: 2567805120 Enrollment ID: I20240210000196 |
| Provider Name | Brittany Danielle Engle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568032951 PECOS PAC ID: 4981047354 Enrollment ID: I20240213002776 |
| Provider Name | Melissa L Meengs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033711965 PECOS PAC ID: 4486098670 Enrollment ID: I20240215001999 |
| Provider Name | Emina Djonko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194291559 PECOS PAC ID: 6103260187 Enrollment ID: I20240217000364 |
| Provider Name | Kathleen Cain Gedraitis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265036107 PECOS PAC ID: 6406290204 Enrollment ID: I20240220004039 |
| Provider Name | Emily Lalone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407432388 PECOS PAC ID: 4183069644 Enrollment ID: I20240224000064 |
| Provider Name | Virginia Paige Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952793192 PECOS PAC ID: 8729423645 Enrollment ID: I20240301002535 |
| Provider Name | Mennard Kendrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396137667 PECOS PAC ID: 3870938467 Enrollment ID: I20240305003854 |
| Provider Name | Abigail Diandra Sok |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174380752 PECOS PAC ID: 8022434265 Enrollment ID: I20240323000202 |
| Provider Name | Laura James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902397920 PECOS PAC ID: 0244677276 Enrollment ID: I20240326001249 |
| Provider Name | Martha Burkett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689856627 PECOS PAC ID: 6204917479 Enrollment ID: I20240402000657 |
| Provider Name | Valerie Forsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376973487 PECOS PAC ID: 6901036680 Enrollment ID: I20240408001438 |
| Provider Name | Meredith Ann Smillie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366200552 PECOS PAC ID: 0648619932 Enrollment ID: I20240419000516 |
| Provider Name | Kera Sanford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255072427 PECOS PAC ID: 9830539105 Enrollment ID: I20240503000376 |
| Provider Name | Catherine Mary Joyce Hazekamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306464581 PECOS PAC ID: 7719327832 Enrollment ID: I20240506003328 |
| Provider Name | Dennis Dowling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831582576 PECOS PAC ID: 1557701646 Enrollment ID: I20240507001533 |
| Provider Name | Ashlea Dull |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336908102 PECOS PAC ID: 8325489271 Enrollment ID: I20240509003140 |
| Provider Name | Steven Thomas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629611892 PECOS PAC ID: 3072955277 Enrollment ID: I20240520001785 |
| Provider Name | Cassie Gail Bueker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669814695 PECOS PAC ID: 5395187017 Enrollment ID: I20240528001064 |
| Provider Name | Caleb Charles Rudd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548927858 PECOS PAC ID: 9638511058 Enrollment ID: I20240530000754 |
| Provider Name | Holly Lynn Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669990834 PECOS PAC ID: 9739621764 Enrollment ID: I20240606000235 |
Reclaim Life Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 800 Monroe Ave Nw, Ste 300, Grand Rapids, MI 49503 Phone: 616-309-0107 Fax: 616-825-6185 | |
Bridges Counseling Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3280 E Beltline Ct Ne, Grand Rapids, MI 49525 Phone: 616-447-3404 | |
Tru Behavior Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 Joslin St Se, Grand Rapids, MI 49507 Phone: 616-287-0740 | |
Hra Psychological Services Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2851 Charlevoix Dr Se Ste 323, Grand Rapids, MI 49546 Phone: 616-458-0692 Fax: 616-458-8129 | |
Perennial Health Services Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 E Fulton St, Suite 114, Grand Rapids, MI 49503 Phone: 616-633-7203 Fax: 616-427-3023 | |
Heart Of The City Health Center West Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Sheldon Blvd Se, Grand Rapids, MI 49503 Phone: 616-965-8282 Fax: 616-940-5366 | |
Thriveworks Counseling Grand Rapids Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4079 Park East Ct Se, Suite C, Grand Rapids, MI 49546 Phone: 269-823-4873 |