| West Michigan Psychological Services Llc | |
|
890 Washington Ave Ste 200 Holland MI 49423-7731 | |
| (616) 952-9957 | |
| Not Available |
| Full Name | West Michigan Psychological Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 890 Washington Ave Ste 200, Holland, Michigan |
| Authorized Official Name and Position | Leslie Roberts (OWNER) |
| Authorized Official Contact | 6164600174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Michigan Psychological Services Llc 890 Washington Ave Ste 150 Holland MI 49423-7731 Ph: () - | West Michigan Psychological Services Llc 890 Washington Ave Ste 200 Holland MI 49423-7731 Ph: (616) 952-9957 |
| NPI Number | 1215407044 |
|---|---|
| Provider Enumeration Date | 12/05/2018 |
| Last Update Date | 11/27/2020 |
| Certification Date | 11/27/2020 |
| Medicare PECOS PAC ID | 6103238167 |
|---|---|
| Medicare Enrollment ID | O20201215003321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215407044 | NPI | - | NPPES |
| Provider Name | Karen S Ledford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497895502 PECOS PAC ID: 7517910557 Enrollment ID: I20050302000103 |
| Provider Name | Mary K Mooi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760585301 PECOS PAC ID: 6406886076 Enrollment ID: I20050815000416 |
| Provider Name | Lorraine S Harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649314600 PECOS PAC ID: 7012005531 Enrollment ID: I20071116000656 |
| Provider Name | Scott R Steenwyk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972723591 PECOS PAC ID: 9537215447 Enrollment ID: I20090917000651 |
| Provider Name | Beata Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497159347 PECOS PAC ID: 7214159763 Enrollment ID: I20141118000322 |
| Provider Name | Rebecca N Brueck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003120510 PECOS PAC ID: 3870874936 Enrollment ID: I20170103001421 |
| Provider Name | Erin Heavilin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881022515 PECOS PAC ID: 2668725755 Enrollment ID: I20181018001832 |
| Provider Name | Daniel L Bierma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427454610 PECOS PAC ID: 5395151021 Enrollment ID: I20210304000801 |
| Provider Name | Greg Bernard Korzenowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194966192 PECOS PAC ID: 1355757527 Enrollment ID: I20210312001535 |
| Provider Name | Leslie Barbara Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265678338 PECOS PAC ID: 7012329089 Enrollment ID: I20211220000644 |
| Provider Name | Alyssa Gunderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780312108 PECOS PAC ID: 7012393572 Enrollment ID: I20221006001177 |
| Provider Name | Brittany Vanoeveren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881058840 PECOS PAC ID: 1951693043 Enrollment ID: I20221017002748 |
| Provider Name | Eryca Hazekamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639895253 PECOS PAC ID: 6305202961 Enrollment ID: I20230524000727 |
| Provider Name | Tamara Haase |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245822295 PECOS PAC ID: 3779944608 Enrollment ID: I20230725002879 |
| Provider Name | Brittani Hyde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871047415 PECOS PAC ID: 1456705466 Enrollment ID: I20230925003432 |
| Provider Name | Christina Haven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154029627 PECOS PAC ID: 2062869423 Enrollment ID: I20231107003543 |
| Provider Name | Lindsey Haan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831759000 PECOS PAC ID: 4183074040 Enrollment ID: I20231219002422 |
| Provider Name | Dawn Rodgers-de Fouw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609599380 PECOS PAC ID: 3375993702 Enrollment ID: I20231228000676 |
| Provider Name | Julie E Gallivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780160283 PECOS PAC ID: 4486005105 Enrollment ID: I20240108000584 |
| Provider Name | Jenna Walbeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265294821 PECOS PAC ID: 1456799709 Enrollment ID: I20240404003281 |
| Provider Name | William W Zeilenga |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629502406 PECOS PAC ID: 7416396098 Enrollment ID: I20240416000359 |
| Provider Name | Marissa Brill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356800023 PECOS PAC ID: 6204276595 Enrollment ID: I20240503001022 |
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