Active NPI
Leann Nicole Bastien, LPC
- Mental Health Counselor
- Caledonia, MI
National Provider Identifier
1063915304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401224764
- Practice address
- 4241 Kalamazoo Drive
Caledonia, MI 49316-9606 - Phone
- (616) 730-1302
- NPI assigned
- Mar 13, 2018
- Last updated
- Jul 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401016474 | MI | MD | Counselor |
| 6401224764 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peaceful Pathways Therapy PLLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Caledonia, MI
- NPI 1588476204
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.