Individual provider Active NPI

Eric Winer, M.A. LLPC

  • Professional Counselor
  • Hudsonville, MI
National Provider Identifier
1336711969
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6451019450 Issued in MI
Practice address
3424 Chicago Dr
Hudsonville, MI 49426-1408
Phone
(616) 822-2540
NPI assigned
Jul 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6451019450 MI Primary

Addresses

Primary practice location

3424 Chicago Dr
Hudsonville, MI 49426-1408

Mailing address

3424 Chicago Dr Ste 205
Hudsonville, MI 49426-1411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231122000635 MI Practitioner - Mental Health Counselor 6002264520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Second Story Counseling II LLCGroup PAC ID 6204292063, 18 clinicians

Practice addresses (Care Compare)

3424 Chicago Dr
Suite 205
Hudsonville, MI 49426-1411
Phone (616) 426-9034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6451019450MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Second Story Counseling II LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

3424 Chicago Dr
Ste 205
Hudsonville, MI 49426
Phone (616) 426-9034

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": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1336711969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 CHICAGO DR STE 205",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 CHICAGO DR",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261408",
            "telephone_number": "616-822-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINER",
        "first_name": "ERIC",
        "credential": "M.A. LLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451019450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudsonville, MI

Sources for this page

Verify at the official NPI Registry.