Active NPI
Matthew J Vandenelst
- Mental Health Counselor
- Ada, MI
National Provider Identifier
1235046863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4764 Fulton St E Ste 204
Ada, MI 49301-9086 - Phone
- (616) 200-4433
- NPI assigned
- Aug 27, 2026
- Sex
- Male
- 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 | MI | Primary |
Addresses
Primary practice location
4764 Fulton St E Ste 204
Ada, MI 49301-9086
Mailing address
1943 Georgetown Dr SE BLDG 25
Grand Rapids, MI 49506-5409
Phone (616) 446-9016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1235046863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1943 GEORGETOWN DR SE BLDG 25",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495065409",
"telephone_number": "616-446-9016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4764 FULTON ST E STE 204",
"city": "ADA",
"state": "MI",
"postal_code": "493019086",
"telephone_number": "616-200-4433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDENELST",
"first_name": "MATTHEW",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ada, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.