Austin Thomas Bastien
Individual provider Active NPI Mental Health Counselor · Coopersville, MI
NPI 1215807367 · NPPES record last updated Nov 5, 2025
Key facts
- NPI
- 1215807367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6451024328 (MI)
- Practice address
- 1145 W Randall St Ste 2a
Coopersville, MI 49404-1393 - Phone
- (616) 987-0122
- NPI assigned
- Nov 5, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451024328 | MI | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6451024328 | MI | Yes |
Addresses
Primary practice location
1145 W Randall St Ste 2a
Coopersville, MI 49404-1393
Mailing address
309 Eastern Ave SE Apt 2
Grand Rapids, MI 49503-4815
Other providers in Coopersville, MI
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- Valerie S Becker
- Leah Boeve
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- Kimberley Bruce
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All providers in Coopersville, MI · Mental Health Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.