Individual provider Active NPI

Star L. Zetocha, LLPC

  • Counselor
  • Kentwood, MI
National Provider Identifier
1043125842
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6451025216 Issued in MI
Practice address
1676 Viewpond Dr SE Ste 1a
Kentwood, MI 49508-4994
Phone
(616) 439-1866
NPI assigned
Aug 17, 2026
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6451025216 MI Primary

Addresses

Primary practice location

1676 Viewpond Dr SE Ste 1a
Kentwood, MI 49508-4994

Mailing address

7725 Cahoon Dr SE
Grand Rapids, MI 49546-9161
Phone (616) 822-5969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1043125842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 CAHOON DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469161",
            "telephone_number": "616-822-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 VIEWPOND DR SE STE 1A",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495084994",
            "telephone_number": "616-439-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETOCHA",
        "first_name": "STAR",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451025216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.