Individual provider Active NPI

Julie L Edwards, LLP

  • Counseling Psychologist
  • Grand Rapids, MI
National Provider Identifier
1285997023
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301015050 Issued in MI
Practice address
3501 Lake Eastbrook Blvd SE Ste 250
Grand Rapids, MI 49546-5940
Phone
(616) 227-0806
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6301015050 MI Primary

Addresses

Primary practice location

3501 Lake Eastbrook Blvd SE Ste 250
Grand Rapids, MI 49546-5940

Mailing address

3501 Lake Eastbrook Blvd SE Ste 250
Grand Rapids, MI 49546-5940
Phone (616) 227-0806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160912001732 MI Practitioner - Psychologist Billing Independently 3072809482 Reassigns benefits to 1 organization
I20241118002943 MI Practitioner - Mental Health Counselor 3072809482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2050 Breton Rd SE
Grand Rapids, MI 49546-5547
Phone (616) 227-0806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301015050MIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Counseling Services CurrentSince Nov 14, 2023 Accepting new patients
Compassionate Couch Therapy CurrentSince Nov 27, 2024 Accepting new patients

Locations

1500 E Beltline Ave SE
Ste 250
Grand Rapids, MI 49506
Phone (616) 219-8539

3501 Lake Eastbrook Blvd SE
Ste 250
Grand Rapids, MI 49546
Phone (616) 209-8060

2050 Breton Rd SE
Ste 104
Grand Rapids, MI 49546
Phone (616) 202-6521

2050 Breton Rd SE
Grand Rapids, MI 49546
Phone (616) 227-0806

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1285997023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 LAKE EASTBROOK BLVD SE STE 250",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465940",
            "telephone_number": "616-227-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 LAKE EASTBROOK BLVD SE STE 250",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465940",
            "telephone_number": "616-227-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JULIE",
        "middle_name": "L",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301015050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.