Individual provider Active NPI

Wendy Sue Elzinga, LLP

  • Counseling Psychologist
  • Grand Haven, MI
National Provider Identifier
1336304484
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
6301013611 Issued in MI
Practice address
509 Franklin Ave
Grand Haven, MI 49417-1400
Phone
(616) 510-6650
NPI assigned
Jul 28, 2008
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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 6301013611 MI Primary

Addresses

Primary practice location

509 Franklin Ave
Grand Haven, MI 49417-1400

Mailing address

509 Franklin Ave
Grand Haven, MI 49417-1400
Phone (616) 510-6650

Other names 1

  • Wendy Sue Lapham Former name

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
6301013611MIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert W Dixon Jr MD PC Current Accepting new patients

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, 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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1336304484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 FRANKLIN AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171400",
            "telephone_number": "616-510-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 FRANKLIN AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171400",
            "telephone_number": "616-510-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZINGA",
        "first_name": "WENDY",
        "middle_name": "SUE",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301013611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "LAPHAM",
            "middle_name": "SUE",
            "credential": "LLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.