Individual provider Active NPI

William Evans, LPC

  • Mental Health Counselor
  • Hudsonville, MI
National Provider Identifier
1043774466
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5445 32ND Ave Ste 180
Hudsonville, MI 49426-2408
Phone
(616) 307-6855
NPI assigned
Jan 30, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X N352059 MI
Mental Health Counselor 101YM0800X 6401222320 MI
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5445 32ND Ave Ste 180
Hudsonville, MI 49426-2408

Mailing address

3379 Kings River St SW
Wyoming, MI 49418-8822
Phone (616) 307-6855

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
I20231130003340 MI Practitioner - Mental Health Counselor 3072961028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Second Story Counseling II LLCGroup PAC ID 6204292063, 18 clinicians

Practice addresses (Care Compare)

3424 Chicago Dr
Suite 205
Hudsonville, MI 49426-1411
Phone (616) 426-9034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N352059MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Evans Group LLC CurrentSince Jul 27, 2025 Accepting new patients

Locations

5445 32nd Ave
Ste 180
Hudsonville, MI 49426
Phone (616) 307-6855

5445 32nd Ave
Ste 160
Hudsonville, MI 49426
Phone (616) 209-8280

Organizations & group practices 2

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1043774466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 KINGS RIVER ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494188822",
            "telephone_number": "616-307-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 32ND AVE STE 180",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494262408",
            "telephone_number": "616-307-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-30",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "N352059",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401222320",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudsonville, MI

Sources for this page

Verify at the official NPI Registry.