Individual provider Active NPI

Hava Zuidema, LPC

  • Counselor
  • Ann Arbor, MI
National Provider Identifier
1255085031
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401224097 Issued in MI
Practice address
2500 Packard St Ste 110
Ann Arbor, MI 48104-6827
Phone
(248) 662-5845
NPI assigned
Feb 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401224097 MI Primary

Addresses

Primary practice location

2500 Packard St Ste 110
Ann Arbor, MI 48104-6827

Mailing address

30365 Timberidge Cir Apt 201
Farmington Hills, MI 48336-5472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

30365 Timberidge Cir
Apt 201
Farmington Hills, MI 48336-5470

30365 Timberidge Cir Apt
Suite 201
Farmington Hills, MI 48336-5472

PO Box
Suite 10
Mason, MI 48854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zuidema Therapy LLC Counselor CurrentSince Apr 24, 2024 Accepting new patients

Locations

2500 Packard St
Ste 110
Ann Arbor, MI 48104
Phone (248) 662-5845

324 E Main St
Northville, MI 48167
Phone (248) 662-5845

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1255085031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30365 TIMBERIDGE CIR APT 201",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PACKARD ST STE 110",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046827",
            "telephone_number": "248-662-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUIDEMA",
        "first_name": "HAVA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401224097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.