Anna Deette Vanwyck, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401013905 Issued in MI

Practice address

950 Taylor Ave Ste 260
Grand Haven, MI 49417-2200

Phone

(231) 329-4262

Fax

(888) 972-2417

NPI assigned

Feb 9, 2015

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Play It by Heart Counseling, PC

  • Professional Counselor
  • Grand Haven, MI
  • NPI 1134649981
  NPD Authorized official

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205227402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 TAYLOR AVE STE 260",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172200",
            "telephone_number": "231-329-4262",
            "fax_number": "888-972-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 TAYLOR AVE STE 260",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172200",
            "telephone_number": "231-329-4262",
            "fax_number": "888-972-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWYCK",
        "first_name": "ANNA",
        "middle_name": "DEETTE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6401013905",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine I Vandeweghe, OD
• Lynn Elise Vandyke, RNFA
• Tania Dee Vandyke, N.P.
• Chloe Vanheest, FNP-BC
• Lauren Rachel Vanopynen, RDA
• Kevin Gregory Vardon, PA-C
• Mary Elyse Veach, CNM, NP, RN
• Samantha Marie Ventocilla, LLMSW
• Linnae Viles, PT
• Tracy Chapin Virta, MA CCC A

• Professional Counselor in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.