Lindsey Nicole Bandy Blodgett, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401014709 Issued in MI

Practice address

8326 S Division Ave
Byron Center, MI 49315-9031

Phone

(847) 651-2084

NPI assigned

May 29, 2015

Last updated

Jun 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leadlight LLCGroup PAC ID 4284161233, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Leadlight LLC

  dba Leadlight Counseling

  • Mental Health Counselor
  • Holland, MI
  • NPI 1578279998

  Professional

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1457730954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8326 S DIVISION AVE",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159031",
            "telephone_number": "847-651-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8326 S DIVISION AVE",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159031",
            "telephone_number": "847-651-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLODGETT",
        "first_name": "LINDSEY",
        "middle_name": "NICOLE BANDY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mindfulcounselinggr.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "address_1": "8326 S Division Ave",
            "city": "Byron Center",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493159031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mindfulcounselinggr.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "address_1": "8326 S Division Ave",
            "city": "Byron Center",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493159031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David James Beyers
• BH JV Grand Rapids LLC (Southridge Behavioral Hospital)
• Ingrid Eerdmans Bierfeldt, M.D.
• Shawna Biggs, MA, LPC
• Miranda Nicole Blaine
• Bluebird Behavioral Services, LLC (Hi-5 ABA)
• Iris Boettcher, MD
• Savannah Boomstra
• Carly Jo Boss, AGPCNP
• Molly Brady

• Professional Counselor in Byron Center, MI
• Providers in Byron Center, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.