Individual provider Active NPI

Beth E Cherin, MA, LPC, NCC

  • Professional Counselor
  • Holland, MI
National Provider Identifier
1003276916
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401005286 Issued in MI
Practice address
12930 James St
Holland, MI 49424-8324
Phone
(248) 613-5377
NPI assigned
Mar 4, 2016
Last updated
Feb 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401005286 MI Primary

Addresses

Primary practice location

12930 James St
Holland, MI 49424-8324

Mailing address

18344 Woodland Ridge Dr Apt 16
Apt 16
Spring Lake, MI 49456
Phone (719) 298-6767

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
I20231221000405 MI Practitioner - Mental Health Counselor 3476903188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Mind Counseling PLLCGroup PAC ID 1355670233, 11 clinicians

Practice addresses (Care Compare)

6995 W 48TH St
Fremont, MI 49412-9506
Phone 231335171833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401005286MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

106 S Stewart Ave
Fremont, MI 49412
Phone (231) 335-1718

6995 W 48th St
Fremont, MI 49412
Phone (231) 335-1718

296 W Clay Ave
Muskegon, MI 49440
Phone (231) 335-1718

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1003276916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18344 WOODLAND RIDGE DR APT 16",
            "address_2": "APT 16",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "49456",
            "telephone_number": "719-298-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 JAMES ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248324",
            "telephone_number": "248-613-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERIN",
        "first_name": "BETH",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401005286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.