Individual provider Active NPI

Gretchen Lawrence, LPC

  • Mental Health Counselor
  • Spring Lake, MI
National Provider Identifier
1477657963
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401008285 Issued in MI
Practice address
109 S Jackson St
Spring Lake, MI 49456-2095
Phone
(616) 842-0405
Fax
(616) 842-0405
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401008285 MI Primary

Addresses

Primary practice location

109 S Jackson St
Spring Lake, MI 49456-2095

Mailing address

15789 River Run Dr
Spring Lake, MI 49456-9213
Phone (616) 842-0405

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240108004142 MI Practitioner - Mental Health Counselor 0840641494 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Start and Associates Psychological Support, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

234 Washington Ave
Grand Haven, MI 49417
Phone (616) 401-8624

320 Columbus Ave
Grand Haven, MI 49417
Phone (231) 903-3021

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477657963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15789 RIVER RUN DR",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569213",
            "telephone_number": "616-842-0405",
            "fax_number": "616-842-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S JACKSON ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562095",
            "telephone_number": "616-842-0405",
            "fax_number": "616-842-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "GRETCHEN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401008285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, MI

Sources for this page

Verify at the official NPI Registry.