Individual provider Active NPI

Anna Marie Psaute, M.A, LPC

  • Professional Counselor
  • Kentwood, MI
National Provider Identifier
1376846758
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401012253 Issued in MI
Practice address
1401 60TH St SE Ste B
Kentwood, MI 49508-7065
Phone
(616) 773-8303
NPI assigned
Dec 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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 6401012253 MI Primary

Addresses

Primary practice location

1401 60TH St SE Ste B
Kentwood, MI 49508-7065

Mailing address

1401 60TH St SE Ste B
Kentwood, MI 49508-7065
Phone (616) 773-8303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 7, 2025 through Jan 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401012253MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ap Neurofeedback & Counseling Services LLC Professional Current Accepting new patients

Locations

2335 Burton St SE
Ste 130
Grand Rapids, MI 49506
Phone (616) 450-5509

1401 60th St SE
Ste B
Kentwood, MI 49508
Phone (616) 238-6690

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1376846758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 60TH ST SE STE B",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495087065",
            "telephone_number": "616-773-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 60TH ST SE STE B",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495087065",
            "telephone_number": "616-773-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSAUTE",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "M.A, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

Verify at the official NPI Registry.