Individual provider Active NPI

Adrianna P Wycuff

  • Professional Counselor
  • Big Rapids, MI
National Provider Identifier
1003450545
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401224801 Issued in MI
Practice address
110 Sanborn Ave Ste B
Big Rapids, MI 49307-1769
Phone
(231) 580-8482
Fax
(888) 509-1505
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 6401224801 MI Primary

Addresses

Primary practice location

110 Sanborn Ave Ste B
Big Rapids, MI 49307-1769

Mailing address

110 Sanborn Ave Ste B
Big Rapids, MI 49307-1769
Phone (231) 580-8482

Other practice location 1

1100 W 21st St
Clovis, NM 88101-4151
Phone (575) 769-2345

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
I20250326000711 MI Practitioner - Mental Health Counselor 7517480072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HST Counseling PLLCGroup PAC ID 7517243082, 4 clinicians

Practice addresses (Care Compare)

110 Sanborn Ave
Suite B
Big Rapids, MI 49307-1769
Phone (231) 580-8482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401224801MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
HST Counseling PLLC CurrentSince Mar 15, 2025 Accepting new patients

Locations

110 Sanborn Ave
Ste B
Big Rapids, MI 49307
Phone (231) 580-8482

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1003450545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SANBORN AVE STE B",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071769",
            "telephone_number": "231-580-8482",
            "fax_number": "888-509-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SANBORN AVE STE B",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071769",
            "telephone_number": "231-580-8482",
            "fax_number": "888-509-1505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "NM",
            "postal_code": "881014151",
            "country_code": "US",
            "telephone_number": "575-769-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYCUFF",
        "first_name": "ADRIANNA",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401224801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

Verify at the official NPI Registry.