Active NPI
Cassidy Vanmalsen
- Mental Health Counselor
- Grandville, MI
National Provider Identifier
1083585632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6851119718
- Practice address
- 3980 Chicago Dr SW Ste 140
Grandville, MI 49418-1392 - Phone
- (616) 209-9295
- NPI assigned
- Sep 16, 2025
- Last updated
- Sep 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6851119718 | MI | Primary |
Addresses
Primary practice location
3980 Chicago Dr SW Ste 140
Grandville, MI 49418-1392
Mailing address
321 Lorene St
Wayland, MI 49348-1125
Phone (269) 967-3473
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 |
|---|---|---|---|
| 6851119718 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1083585632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 LORENE ST",
"city": "WAYLAND",
"state": "MI",
"postal_code": "493481125",
"telephone_number": "269-967-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 CHICAGO DR SW STE 140",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494181392",
"telephone_number": "616-209-9295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANMALSEN",
"first_name": "CASSIDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-16",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6851119718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grandville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.