Individual provider Active NPI

Sabira Pervanic

  • Professional Counselor
  • Grand Rapids, MI
National Provider Identifier
1033531447
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2774 Birchcrest Dr SE
Grand Rapids, MI 49506-5477
Phone
(616) 988-3422
NPI assigned
Jan 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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 Primary

Addresses

Primary practice location

2774 Birchcrest Dr SE
Grand Rapids, MI 49506-5477

Mailing address

4591 Byron Center Ave SW
Wyoming, MI 49519-4805
Phone (616) 430-2143

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
I20251103001197 MI Practitioner - Mental Health Counselor 1759870322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smart Minds LLCGroup PAC ID 8628567880, 5 clinicians

Practice addresses (Care Compare)

2774 Birchcrest Dr SE
Grand Rapids, MI 49506-5477
Phone (616) 988-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Minds LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

2774 Birchcrest Dr SE
Grand Rapids, MI 49506
Phone (616) 329-3264

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": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732924800000",
    "number": "1033531447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4591 BYRON CENTER AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194805",
            "telephone_number": "616-430-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2774 BIRCHCREST DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495065477",
            "telephone_number": "616-988-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVANIC",
        "first_name": "SABIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.