Individual provider Active NPI

Travis Swieringa, LPC

  • Counselor
  • Grand Rapids, MI
National Provider Identifier
1215203856
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6402023330 Issued in MI
Practice address
201 Sheldon Blvd SE
Grand Rapids, MI 49503-4513
Phone
(616) 965-8200
NPI assigned
Mar 28, 2012
Last updated
Dec 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6402023330 MI Primary
Social Worker 104100000X 6802071076 MI

Addresses

Primary practice location

201 Sheldon Blvd SE
Grand Rapids, MI 49503-4513

Mailing address

10313 Tyler St
Zeeland, MI 49464-9782

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
I20251022001223 MI Practitioner - Mental Health Counselor 9830687847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8765 Lewis Ave
Temperance, MI 48182-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6402023330MIMDCounselor
6802071076MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Center of Michigan,Inc CurrentSince Aug 16, 2025 Accepting new patients
Family Medical Center of Michigan,Inc CurrentSince Aug 16, 2025 Accepting new patients
Interact of Michigan, Inc Current Accepting new patients

Locations

1200 N Main St
Adrian, MI 49221
Phone (517) 263-1800

130 Medical Center Dr
Carleton, MI 48117

1085 N Macomb St
#O
Monroe, MI 48162
Phone (734) 639-2546

901 N Macomb St
Monroe, MI 48162
Phone (734) 243-2410

8765 Lewis Ave
Temperance, MI 48182

Organizations & group practices 3

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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1215203856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 TYLER ST",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494649782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SHELDON BLVD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034513",
            "telephone_number": "616-965-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIERINGA",
        "first_name": "TRAVIS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6402023330",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802071076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.