Kimberly K. Venema, MA, LPC, RPT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401014962 Issued in MI

Practice address

1049 E Newell St
White Cloud, MI 49349-8795

Phone

(231) 689-7330

NPI assigned

Feb 16, 2017

Sex

Female

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HST Counseling PLLCGroup PAC ID 7517243082, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• HST Counseling PLLC

  • Community/Behavioral Health Agency
  • Big Rapids, MI
  • NPI 1043759202
  Medicare reassignment Care Compare group NPD
• Eagle Village Inc

  • Psychiatric Residential Treatment Facility
  • Hersey, MI
  • NPI 1710351598
  NPD (past)

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1417496092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 170TH AVE",
            "city": "HERSEY",
            "state": "MI",
            "postal_code": "496398785",
            "telephone_number": "231-832-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 E NEWELL ST",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493498795",
            "telephone_number": "231-689-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17320 Astro Dr",
            "address_purpose": "LOCATION",
            "city": "Big Rapids",
            "state": "MI",
            "postal_code": "493079521",
            "country_code": "US",
            "telephone_number": "231-832-3870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENEMA",
        "first_name": "KIMBERLY",
        "middle_name": "K.",
        "credential": "MA, LPC, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Dianna Stressman, MS, BCBA
• Kaylee Marie Tait
• The Farm Where Living Things Grow Inc
• Jennifer Y. Vanriette, RN
• Emilee C Vanwye, LLMSW
• Justin Wagner, LMSW
• Shawn L Ware, LLBSW
• Bryan Scott Wazbinski, D.D.S.
• Sarah Weers, MD
• Katie Lynn Wemple

• Professional Counselor in White Cloud, MI
• Providers in White Cloud, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.