Individual provider Active NPI

Rebecca Vansetters, CSW, ACSW

  • Mental Health Counselor
  • Cedar Springs, MI
National Provider Identifier
1053490995
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801035649 Issued in MI
Practice address
261 N Main
Cedar Springs, MI 49319-9709
Phone
(616) 696-4034
Fax
(616) 696-6210
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801035649 MI Primary

Addresses

Primary practice location

261 N Main
Cedar Springs, MI 49319-9709

Mailing address

11250 Harvard Ave NE
Rockford, MI 49341-9551
Phone (616) 754-6210

Other identifiers 2

IdentifierTypeStateIssuer
2820641MedicaidMI
8008971700OtherMIBCBS OF MI

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
I20060119000388 MI Practitioner - Clinical Social Worker 1254355357 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801035649MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Counseling Services PC CurrentSince Jan 1, 2006 Accepting new patients

Locations

261 N Main St
Cedar Springs, MI 49319
Phone (616) 287-5637

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053490995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11250 HARVARD AVE NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493419551",
            "telephone_number": "616-754-6210",
            "fax_number": "616-696-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 N MAIN",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493199709",
            "telephone_number": "616-696-4034",
            "fax_number": "616-696-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSETTERS",
        "first_name": "REBECCA",
        "credential": "CSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801035649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2820641",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "8008971700",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Springs, MI

Sources for this page

Verify at the official NPI Registry.