Individual provider Active NPI

Kate Vannier, LPC

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1295134807
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401014181 Issued in MI
Practice address
550 Cascade West Pkwy SE
Grand Rapids, MI 49546-2137
Phone
(616) 930-4123
Fax
(616) 323-3994
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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 6401014181 MI Primary

Addresses

Primary practice location

550 Cascade West Pkwy SE
Grand Rapids, MI 49546-2137

Mailing address

35514 Indigo Dr
Sterling Heights, MI 48310-4946

Other practice location 1

35514 Indigo Dr
Sterling Heights, MI 48310-4946
Phone (586) 212-2671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401014181MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
616 Counseling Professional Corporation CurrentSince Oct 24, 2021 Accepting new patients
Therapeutic Concepts, LLC Past Accepting new patients
David W Hamilton PSYD PLLC PastSince Oct 24, 2021 Accepting new patients

Locations

550 Cascade West Pkwy SE
Grand Rapids, MI 49546
Phone (616) 930-4123

Organizations & group practices 3

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1295134807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35514 INDIGO DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CASCADE WEST PKWY SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462137",
            "telephone_number": "616-930-4123",
            "fax_number": "616-323-3994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35514 Indigo Dr",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483104946",
            "country_code": "US",
            "telephone_number": "586-212-2671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANNIER",
        "first_name": "KATE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.