Individual provider Active NPI

Leann Nicole Bastien, LPC

  • Mental Health Counselor
  • Caledonia, MI
National Provider Identifier
1063915304
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401224764 Issued in MI
Practice address
4241 Kalamazoo Drive
Caledonia, MI 49316-9606
Phone
(616) 730-1302
NPI assigned
Mar 13, 2018
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401016474 MI
Mental Health Counselor 101YM0800X 6401224764 MI Primary

Addresses

Primary practice location

4241 Kalamazoo Drive
Caledonia, MI 49316-9606

Mailing address

9339 Cherry Valley Ave SE Unit 126
Caledonia, MI 49316-0009
Phone (616) 730-1302

Other names 1

  • Ms. Leann Nicole Smith Former name

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

State licenses

LicenseStateTypeSpecialty
6401016474MIMDCounselor
6401224764MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Pathways Therapy PLLC Mental Health CurrentSince Jan 26, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1063915304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9339 CHERRY VALLEY AVE SE UNIT 126",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493160009",
            "telephone_number": "616-730-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 KALAMAZOO DRIVE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493169606",
            "telephone_number": "616-730-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIEN",
        "first_name": "LEANN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401016474",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401224764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEANN",
            "last_name": "SMITH",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Caledonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.