Individual provider Active NPI

Catherine Vertalka, LPC, CAADC, ACS

  • Mental Health Counselor
  • East Lansing, MI
National Provider Identifier
1235494303
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401012709 Issued in MI
Practice address
1750 E Grand River Ave Ste 101
East Lansing, MI 48823-4958
Phone
(616) 745-4045
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401012709 MI Primary

Addresses

Primary practice location

1750 E Grand River Ave Ste 101
East Lansing, MI 48823-4958

Mailing address

3635 Scholar LN
Holt, MI 48842-9417

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
I20240102002878 MI Practitioner - Mental Health Counselor 7012367196 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401012709MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Evolution Group Inc. Past Accepting new patients

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, 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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1235494303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 SCHOLAR LN",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488429417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E GRAND RIVER AVE STE 101",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234958",
            "telephone_number": "616-745-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERTALKA",
        "first_name": "CATHERINE",
        "credential": "LPC, CAADC, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.