Individual provider Active NPI

Melissa Muilenburg

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1336058114
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5250 Northland Dr NE Ste a
Grand Rapids, MI 49525-1096
Phone
(616) 361-5001
NPI assigned
Sep 5, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 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 Primary

Addresses

Primary practice location

5250 Northland Dr NE Ste a
Grand Rapids, MI 49525-1096

Mailing address

5250 Northland Dr NE Ste a
Grand Rapids, MI 49525-1096
Phone (616) 361-5001

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": "1788566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1336058114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 NORTHLAND DR NE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251096",
            "telephone_number": "616-361-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 NORTHLAND DR NE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251096",
            "telephone_number": "616-361-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUILENBURG",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-05",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.