Individual provider Active NPI

Robyn Heiler

  • Counselor
  • Grand Blanc, MI
National Provider Identifier
1003208364
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401014661 Issued in MI
Practice address
8341 Office Park Dr Ste E
Grand Blanc, MI 48439-2077
Phone
(989) 413-6110
NPI assigned
Feb 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401014661 MI
Counselor 101Y00000X 6401014661 MI Primary

Addresses

Primary practice location

8341 Office Park Dr Ste E
Grand Blanc, MI 48439-2077

Mailing address

8341 Office Park Dr Ste E
Grand Blanc, MI 48439-2077
Phone (248) 602-2593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227002387 MI Practitioner - Mental Health Counselor 9133564495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kristine Koetje Ma, PCGroup PAC ID 3375701873, 21 clinicians

Practice addresses (Care Compare)

17224 Van Wagoner Rd
Spring Lake, MI 49456-9702
Phone (616) 296-2130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401014661MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kristine Koetje Ma, PC CurrentSince Jan 23, 2024 Accepting new patients

Locations

1388 Baldwin St
Ste A
Jenison, MI 49428
Phone (616) 259-9220

17224 Van Wagoner Rd
Spring Lake, MI 49456
Phone (616) 296-2130

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1003208364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8341 OFFICE PARK DR STE E",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392077",
            "telephone_number": "248-602-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8341 OFFICE PARK DR STE E",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392077",
            "telephone_number": "989-413-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILER",
        "first_name": "ROBYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014661",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.