Kevin Greg Maybury, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401223768 Issued in MI

Practice address

348 S Waverly Rd Ste 103
Holland, MI 49423-8101

Phone

(616) 218-4769

NPI assigned

Jul 30, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Counseling and Therapy ServicesGroup PAC ID 8921385600, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Counseling and Therapy Services

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1659720548
  Medicare reassignment Care Compare group NPD
• Unity Counseling LLC

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1285299032
  Medicare reassignment NPD
• Kevin Maybury Counseling

  • Mental Health Counselor
  • Holland, MI
  • NPI 1205750825
  NPD (past) Authorized official

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1336812718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 SOUTHGATE ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 S WAVERLY RD STE 103",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494238101",
            "telephone_number": "616-218-4769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Southgate St",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494234557",
            "country_code": "US",
            "telephone_number": "616-218-4769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYBURY",
        "first_name": "KEVIN",
        "middle_name": "GREG",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-30",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401223768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Mattson
• Robert M Matyas, LMSW
• Stephanie Mauzer
• Coriena Maxey, LLMSW
• Casidii Maxfield
• Sarah Jane Maybury, NP
• Cassidy Mazei
• McAlpine Chiropractic Group, P.C
• Ann McAlpine, D.C
• Michelle Camille McArthur, BSN, RN, CDE

• Mental Health Counselor in Holland, MI
• Providers in Holland, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.