Individual provider Active NPI

Bryce Wade, LPC

  • Counselor
  • Kalamazoo, MI
National Provider Identifier
1114544913
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401015681 Issued in MI
Practice address
3317 Greenleaf Blvd
Kalamazoo, MI 49008-2516
Phone
(269) 216-3337
NPI assigned
Jun 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401015681 MI Primary

Addresses

Primary practice location

3317 Greenleaf Blvd
Kalamazoo, MI 49008-2516

Mailing address

3727 Greenleaf Cir Apt 216
Kalamazoo, MI 49008-2542

Other practice location 1

519 S Park St
Kalamazoo, MI 49007-5117
Phone (269) 383-2204

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
I20240127000574 MI Practitioner - Mental Health Counselor 5294188140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brennerhelp LLCGroup PAC ID 9335526979, 5 clinicians

Practice addresses (Care Compare)

3317 Greenleaf Blvd
Kalamazoo, MI 49008-2516
Phone (269) 216-3337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brennerhelp LLC CurrentSince Jan 1, 2024 Accepting new patients
Kalamazoo Probation Enhancement Program PastSince Jul 1, 2020 Accepting new patients

Locations

3317 Greenleaf Blvd
Kalamazoo, MI 49008
Phone (269) 216-3337

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1114544913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 GREENLEAF CIR APT 216",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 GREENLEAF BLVD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082516",
            "telephone_number": "269-216-3337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 S Park St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490075117",
            "country_code": "US",
            "telephone_number": "269-383-2204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "BRYCE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401015681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.