Julie Schalk

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6451022697 Issued in MI

Practice address

4050 Del Mar Dr SW
Wyoming, MI 49418-8870

Phone

(616) 377-2283

NPI assigned

Jan 12, 2023

Last updated

Jan 12, 2023By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centennial Park Counseling, PLLC

  • Social Worker
  • Grand Rapids, MI
  • NPI 1689814469
  NPD

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1447964523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 DEL MAR DR SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494188870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 DEL MAR DR SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494188870",
            "telephone_number": "616-377-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALK",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451022697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LARA LLC LICENSURE",
            "identifier": "6451022697",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "address_1": "4050 Del Mar Dr SW",
            "city": "Wyoming",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494188870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylor Marie Sassack, OTRL
• Kayleigh Saucier, D.O.
• Abigail Sawicki
• Andrea Noel Scarfone
• Ashley Schaendorf
• Tracee Marie Scheffers, MA, RD
• Michael T Schmuker, D.O
• Eric William Schneider, DO
• Daniel Schoen, PA-C
• Elizabeth Scholten

• Professional Counselor in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.